{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T19:43:12Z","timestamp":1793216592733,"version":"4.5.0"},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec>\n<jats:title>OBJECT<\/jats:title>\n<jats:p>The objective of this study was to investigate epidemiology and outcome after surgical treatment for spinal injuries in Ethiopia.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Medical records of patients who underwent surgery for spine injuries at Myungsung Christian Medical Center in Addis Ababa, Ethiopia, between January 2008 and September 2012 were reviewed retrospectively. Assessment of outcome and complications was determined from patient consultations and phone interviews.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 146 patients were included (129 males, 17 females). Their mean age was 31.7 years (range 15\u201381 years). The leading cause of injury was motor vehicle accidents (54.1%), and this was followed by falls (26.7%). The most common injury sites were lumbar (41.1%) and cervical (34.2%) regions of the spine. In 21.2% of patients, no neurological deficit was present before surgery, 46.6% had incomplete spinal cord injury (American Spinal Injury Association [ASIA] Impairment Scale [AIS] Grade B-D), and 32.2% had complete spinal cord injury (AIS Grade A). Follow-up was hampered by suboptimal infrastructure, but information regarding outcome was successfully obtained for 110 patients (75.3%). At follow-up (mean 22.9 months; range 2\u201357 months), 25 patients (17.1%) were confirmed dead and 85 patients (58.2%) were alive; 49 patients (33.6%) underwent physical examination. At least 8 of the 47 patients (17.0%) with a complete injury and 29 of the 68 patients (42.6%) with an incomplete injury showed neurological improvement. The reported incidences of pressure wounds, recurrent urinary tract infections, pneumonia, and thromboembolic events were 22.5%, 13.5%, 5.6%, and 1.1%, respectively.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Patients showed surprisingly good recovery considering the limited resources. Surgical treatment for spine injuries in Ethiopia is considered beneficial.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2015.3.spine141282","type":"journal-article","created":{"date-parts":[[2015,9,4]],"date-time":"2015-09-04T14:02:33Z","timestamp":1441375353000},"page":"772-779","source":"Crossref","is-referenced-by-count":25,"title":["Outcome in patients undergoing surgery for spinal injury in an Ethiopian hospital"],"prefix":"10.3171","volume":"23","author":[{"given":"Martin Andreas","family":"Lehre","sequence":"first","affiliation":[{"name":"Department of Clinical Medicine K1, University of Bergen;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars Magnus","family":"Eriksen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine K1, University of Bergen;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abenezer","family":"Tirsit","sequence":"additional","affiliation":[{"name":"Department of Surgery, Neurosurgery Unit, Addis Ababa University;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Segni","family":"Bekele","sequence":"additional","affiliation":[{"name":"Myungsung Christian Medical Center;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saba","family":"Petros","sequence":"additional","affiliation":[{"name":"Yekatit 12 Hospital, Addis Ababa, Ethiopia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kee B.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Preah Kossamak Hospital, Phnom Penh, Cambodia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne Lundervik","family":"B\u00f8thun","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine K1, University of Bergen;"},{"name":"Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Knut","family":"Wester","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine K1, University of Bergen;"},{"name":"Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine141282","series-title":"East Central Afr J Surg","first-page":"2073","article-title":"Pattern of neurosurgical procedures in Ethiopia: experience from two major neurosurgical centres in Addis Ababa","volume":"16","author":"Abebe","year":"2011"},{"key":"b2-spine141282","series-title":"J Neurotrauma","doi-asserted-by":"publisher","first-page":"1355","DOI":"10.1089\/neu.2004.21.1355","article-title":"A global perspective on spinal cord injury epidemiology","volume":"21","author":"Ackery","year":"2004"},{"key":"b3-spine141282","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1038\/sj.sc.3100375","article-title":"Audit of a British Centre for spinal injury","volume":"35","author":"Aung","year":"1997"},{"key":"b4-spine141282","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1038\/sj.sc.3100630","article-title":"The neurological outcome of acute spinal cord injury in a neurosurgical hospital of a developing country","volume":"36","author":"Brasil","year":"1998"},{"key":"b5-spine141282","series-title":"J Spinal Cord Med","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1179\/2045772311Y.0000000043","article-title":"The challenge of spinal cord injury care in the developing world","volume":"35","author":"Burns","year":"2012"},{"key":"b6-spine141282","series-title":"Asia Pac J Public Health","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1177\/1010539509355470","article-title":"Review paper: epidemiology of traumatic spinal cord injury: comparisons between developed and developing countries","volume":"22","author":"Chiu","year":"2010"},{"key":"b7-spine141282","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1038\/sc.2010.146","article-title":"A global map for traumatic spinal cord injury epidemiology: towards a living data repository for injury prevention","volume":"49","author":"Cripps","year":"2011"},{"key":"b8-spine141282","series-title":"J Spinal Cord Med","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1179\/2045772311Y.0000000017","article-title":"Epidemiological profile of 239 traumatic spinal cord injury cases over a period of 12 years in Tianjin, China","volume":"34","author":"Feng","year":"2011"},{"key":"b9-spine141282","series-title":"Int Orthop","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1007\/s00264-005-0665-3","article-title":"A follow-up study of patients with spinal cord injury in Sierra Leone","volume":"29","author":"Gosselin","year":"2005"},{"key":"b10-spine141282","series-title":"Collection of Scientific Papers 2012: Research Articles in Medicine and Pharmacy","article-title":"Characteristics of patients with spinal cord injuries and primary rehabilitation analysis for patients with incomplete tetraplegia after traumatic spinal cord injuries","author":"Guserova","year":"2013"},{"key":"b11-spine141282","series-title":"Neuroepidemiology","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1159\/000351497","article-title":"Still a need for data from developing countries on traumatic spinal cord injury","volume":"41","author":"Hagen","year":"2013"},{"key":"b12-spine141282","series-title":"Arch Phys Med Rehabil","doi-asserted-by":"publisher","first-page":"2290","DOI":"10.1016\/j.apmr.2005.07.293","article-title":"Health status rated with the Medical Outcomes Study 36-Item Short-Form Health Survey after spinal cord injury","volume":"86","author":"Haran","year":"2005"},{"key":"b13-spine141282","series-title":"Disabil Rehabil","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1080\/09638280110067603","article-title":"Health-related quality of life after spinal cord injury","volume":"24","author":"Leduc","year":"2002"},{"key":"b14-spine141282","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1038\/sj.sc.3100574","article-title":"Problems, struggles and some success with spinal cord injury in Zimbabwe","volume":"36","author":"Levy","year":"1998"},{"key":"b15-spine141282","series-title":"Arch Phys Med Rehabil","first-page":"1266","article-title":"An Italian survey of traumatic spinal cord injury. The Gruppo Italiano Studio Epidemiologico Mielolesioni study","volume":"84","author":"Pagliacci","year":"2003"},{"key":"b16-spine141282","series-title":"Neuroepidemiology","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1159\/000350710","article-title":"Epidemiology of traumatic spinal cord injury in developing countries: a systematic review","volume":"41","author":"Rahimi-Movaghar","year":"2013"},{"key":"b17-spine141282","series-title":"Health Qual Life Outcomes","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/1477-7525-6-108","article-title":"The reliability and validity of the SF-8 with a conflict-affected population in northern Uganda","volume":"6","author":"Roberts","year":"2008"},{"key":"b18-spine141282","series-title":"How to Score and Interpret Single-item Health Status Measures: A Manual for Users of the of the SF-8 Health Survey (with a Supplement on the SF-6 Health Survey)","author":"Ware","year":"2001"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/23\/6\/article-p772.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/23\/6\/article-p772.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/23\/6\/article-p772.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T21:46:00Z","timestamp":1681595160000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/23\/6\/article-p772.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":18,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2015.3.spine141282","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}