{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:25:16Z","timestamp":1793384716165,"version":"4.5.0"},"reference-count":16,"publisher":"Asian Spine Journal (ASJ)","issue":"5","license":[{"start":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T00:00:00Z","timestamp":1646870400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Ganga Orthopaedic Research and Education Foundation","id":[{"id":"https:\/\/ror.org\/029xgej46","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["asianspinejournal.org"],"crossmark-restriction":true},"short-container-title":["Asian Spine J"],"published-print":{"date-parts":[[2022,10,31]]},"abstract":"<jats:p>Study Design: Retrospective review.Purpose: A 5-year longitudinal study documenting and comparing patterns of traumatic spinal injuries (TSIs) observed in developing countries.Overview of Literature: Current knowledge of the patterns and epidemiology of TSI are based on evidence from developed countries and there is a lack of data from developing countries to enable a comparison of information to formulate healthcare policies.Methods: A review of case records of all patients treated at a tertiary level trauma center over a 5-year period (2015\u20132019) was performed. Epidemiological, clinical, and radiological data were analyzed.Results: The incidence of spinal trauma was 6.2% (2,065\/33,072) among all trauma patients. Among these 2,065 patients, the mean age was 43.4\u00b116.3 years and 77.3% (n=1,596) were aged 21\u201360 years. The major cause of injury was falls (52.1%, n=1,069) and 49.8% were high-energy falls (&gt;10 feet [=3.048 m]). In patients with TSI due to falls, injuries occurred at the workplace (n=376), home (n=309), trees (n=151), wells (n=77), and electric poles (n=57). Road traffic accidents contributed to 42% (n=862) of TSIs and predominantly affected motorcyclists (52%, n=467). Around half (53.5%, n=1,005) of all patients were in the lower socioeconomic strata. The most common injury level was thoracic region (37.2%, n=769). Spinal cord injury (SCI) occurred in 49% (n=1,011) of patients and 49.7% (n=1,028) had injuries associated with other organs.Conclusions: Our study indicated different demographic patterns and epidemiological features of TSI compared with the Western literature, including a preponderance of young male patients, falls from heights, motorcycle accidents, and a larger percentage of SCI. The high number of falls at workplace indicates a lack of knowledge among the public and policy makers about safety measures.<\/jats:p>","DOI":"10.31616\/asj.2021.0301","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T21:19:36Z","timestamp":1646860776000},"page":"658-665","update-policy":"https:\/\/doi.org\/10.31616\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Patterns of Traumatic Spinal Injuries in the Developing World: A Five-Year Longitudinal Review"],"prefix":"10.31616","volume":"16","author":[{"given":"Rishi M.","family":"Kanna","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sreeharsha","family":"Peddireddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajoy P.","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanmuganathan","family":"Rajasekaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16744","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.02.033"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3171\/2010.3.spine09530"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000224214.72945.c4"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.04.021"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1177\/1010539509355470"},{"key":"ref6","volume-title":"","year":"2018"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2015.9.3.344"},{"key":"ref8","first-page":"325","volume-title":"The burden of spine fractures in India: a prospective multicenter study","author":"Aleem","year":"2017"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0000000000002214"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199602150-00016"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.06.040"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.3171\/2012.8.spine111003"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3171\/2009.9.spine0943"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.04.035"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000207258.80129.03"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1866-7"}],"container-title":["Asian Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.asianspinejournal.org\/upload\/pdf\/asj-2021-0301.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.asianspinejournal.org\/journal\/view.php?doi=10.31616\/asj.2021.0301","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.asianspinejournal.org\/upload\/pdf\/asj-2021-0301.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T03:19:13Z","timestamp":1667186353000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.asianspinejournal.org\/journal\/view.php?doi=10.31616\/asj.2021.0301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,31]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10]]}},"URL":"https:\/\/doi.org\/10.31616\/asj.2021.0301","relation":{},"ISSN":["1976-1902","1976-7846"],"issn-type":[{"value":"1976-1902","type":"print"},{"value":"1976-7846","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,31]]},"assertion":[{"value":"2021-07-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-10","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}