The characteristics of cervical spinal cord trauma at a North Tanzanian Referral Hospital: a retrospective hospital based study

Abstract

Introduction: surviving a traumatic cervical Spinal Cord Injury (SCI) has an immense effect on an individual's physical function and independence.
It also predisposes them to financial, social, psychological and several medical complications throughout their life. In high-income countries, improved
multidisciplinary care has led to better long term outcomes, however in low-income countries, the burden of the condition and its associated mortality
remain high. The aim of this study was to illustrate the sociodemographic and clinical characteristics of cervical level Traumatic Spinal Cord Injuries
(TSCIs) at Kilimanjaro Christian Medical Centre (KCMC) in northern Tanzania. Methods: this was a retrospective hospital-based study of 105 cervical
TSCI cases admitted to KCMC from January 2012 to December 2016. Results: we included 105 patients in the study cohort, with a male
preponderance of 86.7%, giving a male-to-female ratio of 6.5:1. The mean age at injury was 44.1 years. Overall, 65.7% were farmers and 69
patients were from within the Kilimanjaro region. Road Traffic Crashes (RTCs) accounted for 47.6% of the injuries, 17.9% had associated injuries,
38.1% sustained complete TSCIs and 45.7% developed secondary complications during the ward stay. The mortality rate before discharge from
hospital care was 35.2%. Conclusion: the majority of patients were males from a low socioeconomic background and the most common cause of
injury was RTCs. The secondary complication rates and mortality rates before discharge from hospital care are high.