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Journal of Spinal Cord Medicine

Jonathan H Pelletier, Courtney H Mann, Benjamin T German, Jefferson G Williams, Mark Piehl
CONTEXT: While uncommon, spinal cord injuries most frequently occur in adolescent and young adult males. Established treatment options are limited and focused on supportive care. Therapeutic systemic hypothermia is an emerging experimental treatment currently undergoing clinical trials in adults. FINDINGS: Here we report a case of a 13-year-old male with an American Spinal Injury Association Impairment Scale grade C traumatic cervical spinal cord injury treated with 48 hours of therapeutic systemic hypothermia who made a complete neurological recovery...
September 19, 2018: Journal of Spinal Cord Medicine
Chan-Hyuk Park, Kyung-Lim Joa, Mi-Ok Lee, Seung-Hwan Yoon, Myeong-Ok Kim
OBJECTIVE: To identify that the combined G-CSF and treadmill exercise is more effective in functional recovery after spinal cord injury (SCI). DESIGN: Rats were divided into 4 groups: a SCI group treated with G-CSF (G-CSF group, n = 6), a SCI group treated with treadmill exercise plus G-CSF (G-CSF/exercise group, n = 6), a SCI group with treadmill exercise (exercise group, n = 6), and a SCI group without treatments (control group, n = 6). We performed laminectomy at the T8-10 spinal levels with compression injury of the spinal cord in all rats...
September 19, 2018: Journal of Spinal Cord Medicine
Wei Shu, Haipeng Wang, Hongwei Zhu, Yongjie Li, Jiaxing Zhang, Guang Lu, Bing Ni
CONTEXT: Pseudomeningocele is a relatively uncommon postoperative complication of spine surgery. Although the condition tends to be asymptomatic and self-limiting, it may cause radicular pain and neurological defect due to herniation of the nerve root or the spinal cord. Its pathophysiology remains unclear. Only few cases with intraoperative photos have been reported. FINDING: We present a case of pseudomeningocele with nerve root entrapment after percutaneous endoscopic lumbar discectomy (PELD)...
September 13, 2018: Journal of Spinal Cord Medicine
Jimena Quinzaños-Fresnedo, Paola C Fratini-Escobar, Kievka M Almaguer-Benavides, Ana Valeria Aguirre-Güemez, Aída Barrera-Ortíz, Ramiro Pérez-Zavala, Antonio Rafael Villa-Romero
OBJECTIVE: The objective of the present work was to determine the prognostic validity of the trunk control test for walking and independence in individuals with SCI. DESIGN: A cohort, prospective study was carried out in all individuals with sub-acute SCI. SETTING: All inpatients at the Mexico City based National Rehabilitation Institute (INR). PARTICIPANTS: Ninety individuals with a clinical diagnosis of sub-acute SCI, American Spinal Injury Association Impairment Scale (AIS) A-D, and that have not participated in a rehabilitation program were included...
September 12, 2018: Journal of Spinal Cord Medicine
Claudia Enrichi, Cristiano Zanetti, Rosaria Stabile, Carla Carollo, Luca Ghezzo, Francesco Piccione
CONTEXT: Magnetic Resonance Imaging (MRI) is an essential diagnostic tool for neuroimaging tissues such as the spinal cord. Unfortunately, the use of MRI may be limited in ventilated patients, who cannot maintain the supine position in spontaneous breathing for the whole duration of the exam (i.e. neuro-muscular patients with diaphragm involvement). The use of MRI-compatible ventilator during MRI could be a solution but they are not universally available. Furthermore, their performances are not up to those of the conventional ones and they are not always compatible with Non Invasive Ventilation (NIV)...
September 12, 2018: Journal of Spinal Cord Medicine
Qian Guo, Zhong Fang, Yong Li, Yong Xu, Hanfeng Guan, Feng Li
CONTEXT: Osteochondroma is the most common benign tumor of the bone, but spinal osteochondroma is rare. We report a case of cervical osteochondroma in multiple exostoses arising from the lamina of the C2 vertebra, presenting with features of compressive myelopathy in a 22-year-old male. Total resection of the tumor and atlantoaxial fixation and fusion after reconstruction of the C1 posterior arch were performed. FINDINGS: The patient recovered significantly. He was asymptomatic and no sign of recurrence was observed after one-year follow-up...
September 12, 2018: Journal of Spinal Cord Medicine
Gentaro Kumagai, Kanichiro Wada, Hitoshi Kudo, Toru Asari, Nana Ichikawa, Yasuyuki Ishibashi
OBJECTIVE: We compared screening methods for asymptomatic venous thromboembolism (VTE) in patients with acute spine and spinal cord injuries (SCI). Patients were screened by D-dimer monitoring alone (DS group) or by D-dimer monitoring combined with ultrasonography (DUS group). DESIGN: Prospective cohort study. SETTING: One department of a university hospital in Japan. PARTICIPANTS: 114 patients treated for acute SCI between 2011 and 2017...
September 10, 2018: Journal of Spinal Cord Medicine
Ryan Solinsky, Todd A Linsenmeyer
CONTEXT: Autonomic dysreflexia (AD) is characterized by a sudden onset of hypertension in those with spinal cord injuries (SCI) at T6 or above. Prompt recognition and treatment of AD is important. Herein are two individuals with SCI and acute hypertension due to anxiety that may easily have been confused for AD. FINDINGS: Case 1: A 77-year-old male with C4 AIS D SCI and a history of anxiety and AD presented for urodynamics to evaluate the effectiveness of onabotulinumtoxinA injections into his urethral sphincter...
September 10, 2018: Journal of Spinal Cord Medicine
Susan D Newman, Sherwood L Toatley, Marka D Rodgers
OBJECTIVE: To develop educational content and pilot test the use of tablet computers (iPads), online content management platform (iTunes U) and video conferencing (FaceTime) for delivery of a peer supported, spinal cord injury self-management intervention, using a community-engaged research approach. DESIGN: Cross-sectional convenience sampled pilot study; evaluation using a combination of observation and questionnaires. SETTING: Community-based...
September 10, 2018: Journal of Spinal Cord Medicine
Ryan Solinsky, Todd A Linsenmeyer
OBJECTIVE: To evaluate the role of intravesical lidocaine in preventing autonomic dysreflexia (AD) during routine catheter changes in individuals with spinal cord injury (SCI) at T6 or above. DESIGN: Prospective observational cohort study. SETTING: Outpatient urology clinic. PARTICIPANTS: Fifty consecutive individuals with SCI at or above T6 and a history of AD having a routine indwelling catheter change. INTERVENTIONS: A treatment group of individuals received 10 ml of 2% lidocaine administered into the existing catheter 4-6 minutes prior to catheter change...
September 10, 2018: Journal of Spinal Cord Medicine
Andréane Richard-Denis, Delphine Benazet, Cynthia Thompson, Jean-Marc Mac-Thiong
CONTEXT/OBJECTIVE: To determine the relationship between the different functional aspects (as determined by the Spinal Cord Independence Measure) and quality of life (QOL) following a traumatic spinal cord injury (TSCI), considering clinical confounding factors. DESIGN: Retrospective review of a prospective cohort Setting: A single Level-1 trauma center specialized in SCI care Participants: One hundred and forty-two individuals sustaining an acute traumatic SCI Interventions: Not applicable Outcome measures: The four QOL domains as assessed by the WHOQoL-bref questionnaire 6-12 months following a TSCI...
September 6, 2018: Journal of Spinal Cord Medicine
Edward J Rohn, Denise G Tate, Martin Forchheimer, Lisa DiPonio
OBJECTIVE: The objective of this study was to gain greater insight into individuals' quality of life (QOL) definitions, appraisals, and adaptations following spinal cord injury (SCI). DESIGN: A mixed-methods design, applying the Schwartz and Sprangers response shift (RS) model. RS is a cognitive process wherein, in response to a change in health status, individuals change internal standards, values, or conceptualization of QOL Setting: Community-dwelling participants who receive medical treatment at a major Midwestern medical system and nearby Veterans' Affairs hospital...
September 6, 2018: Journal of Spinal Cord Medicine
Scott Graupensperger, Shane N Sweet, M Blair Evans
OBJECTIVE: To compare the prevalence of anxiety/depression and overweight/obesity (Aim 1) and the multimorbidity of these conditions (Aim 2) in a sample of adults with and without spinal cord injury (SCI). Aim 3 was to examine whether overweight/obese individuals with SCI differ on the prevalence of anxiety/depressive disorders compared to non-overweight/obese individuals with SCI. DESIGN: Retrospective cohort study. PARTICIPANTS: Individuals ≥16 years old who had patient encounters between January 1, 2011, and February 28, 2018...
September 5, 2018: Journal of Spinal Cord Medicine
Vincenzo Levi, Andrea Franzini, Andrea Di Cristofori, Giulio Bertani, Mauro Pluderi
CONTEXT: Treatment of primary spinal syringomyelia is still controversial. Among others, shunting syrinx fluid to the subarachnoid, peritoneal or pleural space has been utilized with varying success. Shunt obstruction, migration, and infection represent the most common complications of these procedures. FINDINGS: The authors present the case of an 81-year-old woman who developed an unusual neurological deterioration resembling a subacute posttraumatic ascending myelopathy (SPAM) after the insertion of a syringosubarachnoid shunt for the treatment of slow-growing D10 syringomyelia...
August 29, 2018: Journal of Spinal Cord Medicine
Alexander Whelan, Mary Halpine, Sean D Christie, Sonja A McVeigh
CONTEXT: Pineal melatonin production is mediated by afferent signaling pathways that navigate through the cervicothoracic spinal cord. Melatonin profiles in individuals with complete cervical spinal cord injury (SCI) have not been systematically reviewed despite this proposed pathway. OBJECTIVES: The primary objective was to understand melatonin profiles in individuals with complete cervical SCI, as compared to healthy controls and those with thoracolumbar and incomplete cervical SCI...
August 22, 2018: Journal of Spinal Cord Medicine
Stephanie Agtarap, Emily Carl, Megan C Reynolds, Kenleigh Roden-Foreman, Monica Bennett, Evan Rainey, Mark B Powers, Simon Driver, Ann Marie Warren
OBJECTIVE: Caregivers of patients with spinal cord injury (SCI) have increased risk of depression, anxiety, and diminished quality of life. Unmet expectations for recovery may contribute to poorer outcomes. DESIGN: Prospective, longitudinal observation study. SETTINGS: Trauma/Critical care ICU at baseline, telephone for follow-ups. PARTICIPANTS: Caregivers of patients with SCI (n = 13). INTERVENTIONS: None...
August 21, 2018: Journal of Spinal Cord Medicine
Ian Rice, Joseph Peters, Laura Rice, Yih-Kuen Jan
CONTEXT/OBJECTIVE: To examine personal (athletic classification, age, sex, body mass index, duration of disability, tactile sensation of lower extremities) and wheelchair (kneeling plate angle) factors associated with increased pretibial skin pressures in elite wheelchair racers. DESIGN: Cross-sectional study. SETTING: University-based laboratory in Champaign, USA. PARTICIPANTS: A convenience sample of elite wheelchair races with traumatic spinal cord injury and spinal disease were recruited for participation...
August 21, 2018: Journal of Spinal Cord Medicine
Ryan McGrath, Orman Hall, Mark Peterson, Michael DeVivo, Allen Heinemann, Claire Kalpakjian
OBJECTIVE: To determine the association between spinal cord injury (SCI) etiology categories and mortality, and examine the association between etiology sub-categories and mortality. DESIGN: Prospective cohort study. SETTING: Model Systems and Shriners Hospital SCI units. PARTICIPANTS: Data were analyzed from 42,627 cases in the SCI Model System Collaborative Survival Study Database from 1973 to 2017. Those with SCI etiologies categorized as vehicular, violent, sports, falls, pedestrian, and medical were included...
August 20, 2018: Journal of Spinal Cord Medicine
Rutger Osterthun, Tjitske A Tjalma, Dorien C M Spijkerman, Willemijn X M Faber, Floris W A van Asbeck, Jacinthe J E Adriaansen, Marcel W M Post
CONTEXT/OBJECTIVE: Since life expectancy of persons with spinal cord injury (SCI) has improved, it is relevant to know whether this group is able to maintain functional abilities many years after onset of SCI. Objectives of this study were (1) to examine associations between time since injury (TSI) and functional independence in persons with long-standing SCI and (2) to explore associations between functional independence and level of injury, comorbidities, mental health, waist circumference and secondary health conditions (SHCs)...
August 20, 2018: Journal of Spinal Cord Medicine
Jayantee Kalita, Amar Vibhute, Mritunjai Kumar, Usha K Misra
CONTEXT: In West Nile virus (WNV) encephalitis, polio-like illness has been reported but there is no report on acute transverse myelopathy. DESIGN, SETTING AND PARTICIPANTS: We report a patient with WNV myelopathy admitted in a tertiary care teaching hospital, India along with review of the literature. FINDINGS: A 34 year-old lady presented with fever, headache, diarrhea, seizure, bulbar weakness and quadriplegia for 20 days. Her encephalopathy, bulbar and upper limb weakness improved within few days but flaccid areflexic paraplegia persisted till 6 months with a horizontal sensory level at D3...
August 20, 2018: Journal of Spinal Cord Medicine
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