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e-ISSN: 2394-2967
British Journal of Medical and Health Research

British Journal of Medical and Health Research

Published

Clinical Patterns and Management of Traumatic Spinal Injuries at a Tertiary Referral Hospital in Western Kenya: A Prospective Study

Published in November 2026 Issue 11 (Vol. 13, Issue 11, 2026)

Clinical Patterns and Management of Traumatic Spinal Injuries at a Tertiary Referral Hospital in Western Kenya: A Prospective Study - Issue cover

Abstract

Background: Traumatic spinal injuries (TSI) are a significant cause of morbidity, disability, and socioeconomic burden, particularly in low- and middle-income countries where access to specialized care and rehabilitation remains limited. This study evaluated theclinical presentation, injury patterns, and management ofTSI at Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. A prospective descriptive study was conducted among 28 patients with TSI recruited Methods: through consecutive sampling. Data collected included demographics, injury mechanisms, anatomical levels, neurological severity, associated injuries, treatment modalities, complications, and functional outcomes. Neurological assessments was performed using the ASIA Impairment Scale. Results : The mean age was 37.9 years (SD 12.4), with males comprising 85.7% of participants. Farmers (25%) and casual labourers (17.9%) were the most represented occupational groups. Falls were the leading mechanism of injury, while the lumbar spine was the most frequently affected region. Most patients (89.3%) had incomplete or no neurological impairment (ASIA D/E). Surgical intervention was performed in 67.9% of patients, with a mean time to surgery of 3.8days (SD3.22). The mean hospitalstay was 12.8days (SD10.9). Conclusion: TSI predominantly affected economically active males, with falls being the leading cause. Strengthening occupational injury prevention, prehospital spinal care, timely referral, and comprehensive rehabilitation services may improve patient management in resource-limited settings. Keywords: Traumatic spinal injuries; Spinal trauma; Neurological impairment; Surgical management;Kenya.

References

  1. [1]1.Barbiellini Amidei C, Salmaso L, Bellio S, Saia M. Epidemiology of traumatic spinal cord injury: A large population-based study. Spinal Cord. 2022;60(9):812-819.
  2. [2]2.Chiu AK, Pease TJ, Prakash H, Oster BA, Smith RA, Sahlani M, et al. The changing epidemiology of traumatic spine injuries: A trends analysis of 26 years of patients at a major level 1 trauma center in the United States. Spine J. 2024;24(9):1561-1570.
  3. [3]3.Jesuyajolu D, Ayantayo T, Oyesiji E, Bakare S, David SO, Sule R, et al. Burden of traumatic spinal cord injury in Africa: A scoping review protocol. J Surg Protoc Res Methodol. 2023;2023(1):snad003.
  4. [4]4.Ackery A, Tator C, Krassioukov A. A global perspective on spinal cord injury epidemiology. J Neurotrauma. 2004;21(10):1355-1370.
  5. [5]5.Chiu WT, Lin HC, Lam C, Chu SF, Chiang YH, Tsai SH. Global epidemiology of traumatic spinal cord injury. J Neurotrauma. 2010;27(1):27-36.
  6. [6]6.Quadri SA, Farooqui M, Ikram A, Zafar A, Khan MA, Suriya SS, et al. Recent update on basic mechanisms of spinal cord injury. Neurosurg Rev. 2020;43(2):425-441.
  7. [7]7.Budd MA, Gater DR Jr, Channell I. Psychosocial consequences of spinal cord injury: A narrative review. J Pers Med. 2022;12(7):1178.
  8. [8]8.Kinyanjui JW, Mulimba JAO. Pattern and outcome of spinal injury at Kenyatta National Hospital. East Afr Orthop J. 2016;10(1):3-6.
  9. [9]9.Montshiwa TR. Injuries associated with thoracolumbar fractures. East Afr Orthop J. 2015;9(1):18-20.
  10. [10]10.Mwaura KK. Patterns and short term outcomes of thoracolumbar fractures at Moi Teaching and Referral Hospital, Eldoret, Kenya [Master of Medicine dissertation]. Eldoret: Moi University; 2019.
  11. [11]11.Moshi HI, Sundelin GG, Sahlen KG, Sörlin AV. A one-year prospective study on the occurrence of traumatic spinal cord injury and clinical complications during hospitalisation in North-East Tanzania. Afr Health Sci. 2021;21(2):788-794. doi:10.4314/ahs.v21i2.39.
  12. [12]12.Ikwuegbuenyi CA, Woodfield J, Waterkeyn F, Zuckerman SL, Cheserem B, Leidinger A, et al. Is mechanism of injury associated with outcome in spinal trauma? An observational cohort study from Tanzania. PLoS One. 2024;19(7):e0306577.
  13. [13]13.Pickett W, Simpson K, Walker J, Brison RJ. Traumatic spinal cord injury in Ontario, Canada. J Trauma. 2006;60(4):802-809.
  14. [14]14.Muli GM, et al. Epidemiology of spinal cord injuries in three selected counties in Kenya. S Afr J Physiother. 2025;81(1):2097.
  15. [15]15.Golestani A, Shobeiri P, Sadeghi-Naini M, Jazayeri SB, Maroufi SF, Ghodsi Z, et al. Epidemiology of traumatic spinal cord injury in developing countries from 2009 to 2020: A systematic review and meta-analysis. Neuroepidemiology. 2022;56(4):219-239.
  16. [16]16.Fehlings MG, Tetreault LA, Wilson JR, Kwon BK. A clinical practice guideline for the management of patients with acute spinal cord injury. Global Spine J. 2017;7(3 Suppl):195S-202S.
  17. [17]17.Chanbour H, Chen JW, Ehtesham SA, Ivey C, Pandey AK, Dewan MC, et al. Time to surgery in spinal trauma: A meta-analysis of the world's literature comparing high-income countries to low-middle income countries. World Neurosurg. 2022;167:e268-e282
  18. [18]18.Kirshblum SC, Burns SP, Biering-Sørensen F, et al. International standards for neurological classification of spinal cord injury. J Spinal Cord Med. 2011;34(6):535-546.
  19. [19]19.World Health Organization. International perspectives on spinal cord injury. Geneva: World Health Organization; 2013.

Authors (3)

Biko Opidi

Moi University, Eldoret, Kenya

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Kibor Lelei

Moi University

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Barry Ayumba

Moi University

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BJMHR11130001

BJMHR-13-000078

1-11

2026-11-02

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Opidi, B., Lelei, K., & Ayumba, B. (2026). Clinical Patterns and Management of Traumatic Spinal Injuries at a Tertiary Referral Hospital in Western Kenya: A Prospective Study. British Journal of Medical and Health Research, 13(11), 1-11. https://bjmhr.com/articles/BJMHR11130001

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