Treatment challenges related to traumatic spinal cord injury in lower-middle-income countries

Q: What does this research mean for the field?

Delays in traumatic spinal cord injury management in lower-middle-income countries occur across the continuum of care due to resource and financial barriers, leading to prolonged hospitalization, preventable complications, and increased mortality. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

Luh Ari Devanita S; Dewa Putu Wisnu Wardhana; Padma Permana; Agung Bagus Sista Satyarsa

doi:10.25259/jnrp_405_2025

June 8, 2026Journal of Neurosciences in Rural PracticeOpen Access

Treatment challenges related to traumatic spinal cord injury in lower-middle-income countries

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Key Points

This review aims to synthesize evidence on treatment delays, barriers, and clinical outcomes in traumatic spinal cord injury in lower-middle-income countries.
Systematic review registered in PROSPERO (CRD420251072247)
Data extraction and screening performed independently by two reviewers
Literature searches conducted across multiple databases including PubMed and Cochrane Library.
Twenty-three studies included, with subject counts ranging from 15 to 2065 patients.
Pre-hospital delays linked to referral issues, transport limitations, and financial constraints.
Delays are associated with complications such as pressure ulcers, pneumonia, urinary tract infections, and increased mortality rates.

Implication

Systematic review uncovers delays and complications in traumatic spinal cord injury management in lower-middle-income countries, suggesting urgent need for improvements.

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Cite This Study

S et al. (2026) studied this question.

synapsesocial.com/papers/6a28ff336f82f25be989c3a2 https://doi.org/10.25259/jnrp_405_2025

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Treatment challenges related to traumatic spinal cord injury in lower-middle-income countries

Key Points

Implication

Discussion

Cite This Study

Treatment challenges related to traumatic spinal cord injury in lower-middle-income countries

Key Points

Implication

Discussion

Cite This Study

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