Management and outcomes of traumatic paediatric spinal cord injuries in low- and middle-income countries: A scoping review

Dalle, David Ulrich, Sriram, Smrithi, Bandyopadhyay, Soham, Egiz, Abdullah, Kotecha, Jay, Kanmounye, Ulrick Sidney, Higginbotham, George, Ooi, Setthasorn Zhi Yang and Bankole, Nourou Dine Adeniran 2022. Management and outcomes of traumatic paediatric spinal cord injuries in low- and middle-income countries: A scoping review. World Neurosurgery 165 , pp. 180-187. 10.1016/j.wneu.2022.06.030

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Abstract

Background Traumatic spinal cord injury (TSCI) is a subset of neurotrauma, which is a significant contributor to global trauma mortality and morbidity in children. The management and outcomes of paediatric TSCI in low-and-middle income countries (LMICs) is unknown. We conducted a scoping review to characterise the methods of management and outcomes of TSCI in LMICs. Methods MEDLINE, EMBASE, and Global Index Medicus were searched from database inception to February 15, 2021. Studies reporting management or outcomes of paediatric TSCI in LMICs were included. Pooled statistics were calculated using measures of central tendency and spread. Results A total of 1171 studies were identified, of which, 5 were included. A total of 212 patients were included in our review with age of participants ranging from 2.5 to 18 years old (mean = 15.4 years). Most patients were male (n=162, 76.4%). The commonest cited cause of injury were falls (n=104/212, 49.1%). The most common level of injury was cervical (n=83, 39.2%). The majority of patients underwent surgery (n=134/212, 63.2%). The extent of injury was quantified and classified using the ASIA chart in only one paper. Long-term management data was not present in any of the included studies. Conclusion There is a scarcity of published studies reporting the management and outcome of paediatric TSCI in LMICs. The paucity of studies in this domain provides insufficient data to be compared, reducing the ability to draw a strong conclusion. This hinders the development of guidelines to inform best practice.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Elsevier
ISSN:	1878-8750
Date of First Compliant Deposit:	23 June 2022
Date of Acceptance:	6 June 2022
Last Modified:	06 Jan 2024 18:47
URI:	https://orca.cardiff.ac.uk/id/eprint/150741

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