title: Neglected Thoraco Lumbar Traumatic Spine Injuries.
abstract: METHODS
  Retrospective study.
  
  
  OBJECTIVE
  To outline the etiology, complications and management difficulties encountered in the management of neglected thoracolumbar spine injuries.
  
  
  BACKGROUND
  The English literature describes overlooked diagnosis as the most common cause of neglected spine injuries. However, the reasons differ in developing or under-developed nations. Moreover, there is scarcity of literature about the neglected spinal injuries.
  
  
  METHODS
  Patients presenting with thoracolumbar traumatic injuries who had not received any form of treatment for more than three weeks were included in the study. The demographic details, operative procedure performed and complications encountered, along with American Spinal Injury Association grade and spinal cord independence measure score recorded on the history sheets were noted. The data were analyzed.
  
  
  RESULTS
  Forty patients were included in the study. Inadequate treatment at the first contact hospital (45%) followed by late presentation (38%) and missed injury (17%) were the major etiological factors for the neglected traumatic injuries in the thoracolumbar spine. The most common complications seen in the management of these cases were pressure sores (58%), back pain (57%), urinary tract infection (42%) and residual kyphotic deformity (42%).
  
  
  CONCLUSIONS
  Management of neglected thoracolumbar injuries is challenging. The delay in presentation should not prevent spine surgeon in proceeding with operative intervention as good results can be expected.
authors: Department of Orthopaedics, GGS Medical College, Faridkot, India.
authors: Kavin
authors: K
authors: Khatri
authors: Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
authors: Kamran
authors: K
authors: Farooque
authors: Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
authors: Vijay
authors: V
authors: Sharma
authors: Department of Anaesthesia, All India Institute of Medical Sciences, New Delhi, India.
authors: Babita
authors: B
authors: Gupta
authors: Department of Radiology, All India Institute of Medical Sciences, New Delhi, India.
authors: Shivanand
authors: S
authors: Gamanagatti
keywords: Cord injury; Fracture; Neglected diseases; Spinal cord injuries; Spinal fractures; Spine; Thoracolumbar spine; Trauma