Frequency of Cervical spine injuries in moderate to severe Head Injuries at Allied Hospital Faisalabad

ABSTRACT Objective: Traumatic brain injury, often referred to as TBI, is considered as acute event similar to other injuries. After sustaining the head injury One moment the person is normal and the minutes after life has changed suddenly. Trauma team mostly miss the diagnosis of cervical spine injury (CSI) due to altered level of consciousness as a result of a traumatic brain injury (TBI).The objective of this study was to determine the frequency of cervical spine injury in patients having moderate to severe head injury due to different types of trauma at allied hospital Faisalabad. Study Design: Cross sectional observational study Place And Duration Of Study: Neurosurgery Department Allied Hospital Faisalabad from June 2019 to December 2019. Methodology: A total of 491 patients were included in this study through surgical emergency by non-probability sampling. All the patients selected are gone through X-Ray Cervical spine AP and Lat view, CT Cervical Spine, and MRI Cervical spine to evaluate for cervical spine injury in patients having moderate to severe Head injury. Results: A total of 491 patients were included in our study, out of which 368 (74.9%) were males and 123 (25.5%) were females. Age of the patients ranged from 5-70 years with mean of 31.93.Out of the 491 patients 30(6.10%) were found to have cervical spine Injury. Among these patients most common cause of injury was MVA 20(4.07%) whereas fall 04(0.83%) and others were 06 (1.2%). Conclusion: In patients with dual diagnoses in a limited resources, survival rate is 45%; and older patients are at risk. Neurosurgeons who are practicing in limited resources should keep this in mind with the hope of attaining better outcomes. The frequency of cervical spine injury associated with moderate to severe head injury remain almost the same all over the world with minor differences. Keywords: Traumatic Brain Injury, Head injury, Cervical spine injur