Anesthésie et recherche clinique
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Surgical Management of Traumatic Spinal Injuries in Sylvanus Olympio Teaching Hospital

Agbéko Komlan Doléagbénou1, Ben Ousmanou Djoubairou2, Mensah Kodjo Hobli Ahanogbé1, Komi Egu3, Anthony Katanga Békéti1,4, Essossinam Kpélao1, Anani Abalo5,

Study design: Retrospective study.

Objective: To describe the pattern and the surgical management of patients with traumatic spine injury in Lomé, Togo.

Patients and methods: We conducted a retrospective and descriptive from November 2017 to October 2020. We included adult patients who presented with traumatic spine injury and who underwent surgery stabilization.

Results: A total of 93 patients were studied. The population was young (35.92 ± 9.68 years old), men (91.4%). Road traffic accidents accounted for 85% of patients. At presentation, 59.1% of patients had an incomplete neurologic deficit (ASIA B-D). The cervical spine was the most common segment injured (57%). The median time from admission to the operating room was 21.06 ± 11.8 days. After surgery, 15.3% improved by at least 1 ASIA grade. Bedsores (14%) and superficial wound infection (10.8%) were the most typical complications in our series after surgery.

Conclusion: Traumatic spinal injury in Lomé mainly occurred in young adult males. It is affecting mainly the cervical spine. Despite limitations in medical resources, spine surgery appears promising in our country.