The annual incidence of traumatic spinal cord injury (SCI) in developed countries varies from 11.5 to 53.4 per million of population. Deaths after admission for acute SCI range from 4.4% to 16.7 %. In our setup, most of these injuries occur due to fall from roofs, fall from hills and trees, or road traffic accidents, which can be prevented. The Sudden onset of SCI is dreadful and has a profound impact on the individuals and their families. Knowledge of epidemiology, physiology, treatment modalities,( surgery/conservative), complications, physiotherapy-rehabilitation is must for distribution of limited health care resources.
It is unimaginable in west that a patient with spinal injury will not be shifted to a fully equipped spine centre within one hour interval. Whereas here in India it is a routine to receive majority of the patients after 2-3 days, or even weeks after spine injury.
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