Cervical spinal cord injury due to fall while carrying heavy load on head:​ a problem in Bangladesh

Hoque, M. F.; Hasan, Z.; Razzak, A. T. M. A.; Helal, S. U.

Affiliations

¹Department of Orthopaedics and Spinal surgery, Square Hospital, Dhaka, Bangladesh

²Department of Microbiology, Square Hospital, Dhaka, Bangladesh

³Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh

Abstract and keywords

Study Design: Observational study.

Setting: Centre for the Rehabilitation of the Paralysed (CRP), Dhaka, Bangladesh.

Methods: This observational study was conducted on 84 patients of Cervical spinal cord injury (CSCI) due to fall while carrying heavy load on head. They were admitted at the CRP, Dhaka, Bangladesh between January 1999 and December 2001. Relevant personal information, neurological status, types of bony injuries and x-ray findings were noted down in pre-structured questionnaire. In addition, each subject was interviewed to find out the cause of accidental fall while carrying heavy load on head.

Results: Age of the studied subjects ranged between 10 to 50 years. All were male of whom 79 (94%) subjects were farmers and/or low cost daily laborers. In all, 72% percent of the subjects were carrying 60-80 kg weight on their head when fall occurred. A total of 48 (57%) subjects had complete neurological lesion. The most common vertebral levels were C5 and C6. So far the mechanism of injury is concerned hyper flexion of the cervical spine predominated (61%) over hyperextension (36%).

Conclusion: Fall while carrying heavy load on head is a common cause of CSCI in Bangladesh. The victims are mostly young farmers or unskilled day laborers who were not habituated to carry heavy load on head.

Keywords: cervical spinal injury; load on head; fall

Links

DOI: 10.1038/sc.2011.153

PubMed: 22143680

WoS: 000302648400005

History

Received: 2011-07-26

Revised: 2011-11-03

Accepted: 2011-11-04

Online: 2011-12-06

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Cited By (1)

Year	Entry
2013	Porter G, Hampshire K, Dunn C, Hall R, Levesley M, Burton K, Robson S, Abane A, Blell M, Panther J. Health impacts of pedestrian head-loading: a review of the evidence with particular reference to women and children in sub-Saharan Africa. Soc Sci Med. July 2013;88:90-97.