Clinical Analysis of Patients with Multiple Spinal Injury.

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A retrospective analysis of nine patients with multiple spinal injuries is presented. Patient ages at admission ranged from 17 to 50 years (mean 26.4 years) and the male:female ratio was 7:2. Cause of injury was a motor vehicle accident in six patients, and a fall in three patients. Neurological examination of the nine patients on admission showed complete motor and sensory loss (Frankel A) in 3 patients and incomplete neurological deficits in 6 patients (Frankel B: 1, C: 3, E: 2). Six (67%) of the nine patients had associated injuries. The additional injuries included head injury in two patients, chest injury in four patients, abdominal injury in one patient, fracture of the extremities in two patients and pelvic fracture in one patient. All patients had cervical spinal injuries. Eight patients had injury in at least two spinal regions (upper cervical and lower cervical spinal injuries in one patient, upper cervical and thoracic spinal injuries in one patient, middle∼lower cervical and thoracic spinal injury in six patients and middle∼lower cervical and lumber spinal injuries in one patient). One patient had cervical spinal injuries in two sites and a thoracic spinal injury. Our results indicate that examination of the whole spine should be performed in a patient with spine and spinal cord injuries accompanied by other organ injuries.
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