{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:25:36Z","timestamp":1793283936171,"version":"4.5.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Understanding pattern and outcome of traumatic spinal cord injury (TSCI) will inform better management which expectedly would improve prognosis and minimise complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective study was carried out on all managed TSCI cases from January 2009 to December 2018. Sociodemographic characteristics, injury type, cause and complications were extracted from patients' registers and case folders. Descriptive statistics summarised the data, and Fisher's exact test analysed associations between variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Eighty-one cases met the inclusion criteria and were analysed. Most cases (91.4%) were males, aged 18\u201339 years (65.4%) and were civil servants (37.0%). Road traffic accident (RTA) was the leading cause of injury (37.0%) and incomplete lesion predominated (69.1%). Cases referred for physiotherapy constituted 77.8%, only 14.8% of cases recovered without neurological deficits. On discharge, most patients were wheelchair bound (33.3%). Region of spine affected showed significant association with complications developed (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01). RTA caused more dead as a cause of injury was found to be significantly associated with outcome (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04). Referral for physiotherapy showed significant association with outcome (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01), so also, region of spine affected with outcome (0.01). The study found a significant association between type of injury and functional status (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The study concludes that young adults of working class were mostly affected, and RTA and gunshots injuries were the leading causes of TSCI. Findings such as the association found between regions of spine affect and complication developed on admission will help healthcare providers identify those susceptible and offer prompt preventive measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/npmj.npmj_345_20","type":"journal-article","created":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T07:47:50Z","timestamp":1633938470000},"page":"139-144","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Pattern and Outcome of Traumatic Spinal Cord Injury Managed at University of Maiduguri Teaching Hospital, Nigeria"],"prefix":"10.4103","volume":"28","author":[{"given":"Cornelius Mahdi","family":"Ishaku","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Buba Kabaju","family":"Jawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley Monday","family":"Maduagwu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Auwal Bello","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliyu","family":"Lawan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adamu Ahmad","family":"Rufa'i","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adetoyeje Yoonus","family":"Oyeyemi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20240908","doi-asserted-by":"crossref","first-page":"21","DOI":"10.4314\/njotra.v9i1.54725","article-title":"Outcome of conservative treatment of spinal cord injuries in Lagos, Nigeria","volume":"9","author":"Kawu","year":"2010","journal-title":"Niger J Orthop Trauma"},{"key":"R2-11-20240908","first-page":"40","article-title":"Profile of traumatic spinal cord injury patients admitted in physical medicine and rehabilitation department of a tertiary care hospital: A North-East India Experience","volume":"24","author":"Chanu","year":"2013","journal-title":"Int J Pharm Med Res"},{"key":"R3-11-20240908","doi-asserted-by":"crossref","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","journal-title":"Int Orthop"},{"key":"R4-11-20240908","doi-asserted-by":"crossref","first-page":"17018","DOI":"10.1038\/nrdp.2017.18","article-title":"Traumatic spinal cord injury","volume":"3","author":"Ahuja","year":"2017","journal-title":"Nat Rev Dis Primers"},{"key":"R5-11-20240908","doi-asserted-by":"crossref","first-page":"38","DOI":"10.4103\/1119-3077.94095","article-title":"Pattern and presentation of spine trauma in Gwagwalada-Abuja, Nigeria","volume":"15","author":"Kawu","year":"2012","journal-title":"Niger J Clin Pract"},{"key":"R6-11-20240908","first-page":"1","article-title":"Pattern and outcome of spinal injury at Kenyatta National Hospital","volume":"10","author":"Kinyanjui","year":"2016","journal-title":"East Afr Orthop J"},{"key":"R7-11-20240908","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1017\/S0317167100014530","article-title":"Global incidence and prevalence of traumatic spinal cord injury","volume":"40","author":"Furlan","year":"2013","journal-title":"Can J Neurol Sci"},{"key":"R8-11-20240908","first-page":"276","article-title":"Pattern of spinal cord injury in Maiduguri, North Eastern Nigeria","volume":"14","author":"Umaru","year":"2005","journal-title":"Niger J Med"},{"key":"R9-11-20240908","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1097\/01.brs.0000207258.80129.03","article-title":"Epidemiology of traumatic spinal cord injury in Canada","volume":"31","author":"Pickett","year":"2006","journal-title":"Spine (Phila Pa 1976"},{"key":"R10-11-20240908","doi-asserted-by":"crossref","first-page":"53","DOI":"10.4103\/1595-1103.194219","article-title":"Pattern of traumatic spinal cord injury in Makurdi, Nigeria","volume":"17","author":"Yongu","year":"2016","journal-title":"Niger J Surg Res"},{"key":"R11-11-20240908","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/BSD.0000000000000287","article-title":"Acute spinal cord Injury","volume":"28","author":"Witiw","year":"2015","journal-title":"J Spin Disord Tech"},{"key":"R12-11-20240908","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.wneu.2015.11.098","article-title":"Is urgent decompression superior to delayed surgery for traumatic spinal cord injury? 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