• World Neurosurg · Sep 2022

    Review

    Management and Outcomes of Traumatic Paediatric Spinal Cord Injuries in Low- and Middle-Income Countries: A Scoping Review.

    • David Ulrich Dalle, Smrithi Sriram, Soham Bandyopadhyay, Abdullah Egiz, Jay Kotecha, Ulrick Sidney Kanmounye, George Higginbotham, Setthasorn Zhi Yang Ooi, and BankoleNourou Dine AdeniranNDAIBN SINA Teaching Hospital Rabat, Neurosurgery Department, Mohammed V University of Rabat, Rabat, Morocco..
    • North Ossetia State Medical Academy, Vladikavkaz, Russian Federation and Association of Future African Neurosurgeons, Yaounde, Cameroon.
    • World Neurosurg. 2022 Sep 1; 165: 180-187.e3.

    BackgroundTraumatic 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 pediatric TSCI in low- and middle-income countries (LMICs) is unknown. We conducted a scoping review to characterize the methods of management and outcomes of TSCI in LMICs.MethodsMEDLINE, Embase, and Global Index Medicus were searched from database inception to February 15, 2021. Studies reporting management or outcomes of pediatric TSCI in LMICs were included. Pooled statistics were calculated using measures of central tendency and spread.ResultsA 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 (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%). Most patients underwent surgery (n = 134/212; 63.2%). The extent of injury was quantified and classified using the American Spinal Injury Association chart in only 1 study. Long-term management data were not present in any of the included studies.ConclusionsThere is a scarcity of studies reporting the management and outcome of pediatric 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 situation hinders the development of guidelines to inform best practice.Copyright © 2022 Elsevier Inc. All rights reserved.

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