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Journal of Spinal Cord Medicine

Cengiz Gomleksiz, Deniz Ufuk Erbulut, Halil Can, Manoj Kumar Kodigudla, Amey V Kelkar, Eser Kasapoglu, Ali Fahir Ozer, Vijay K Goel
CONTEXT: To evaluate the stability provided by a new bilateral fixation technique using an in vitro investigation for posterior lumbar segmental instrumentation. DESIGN: Experimental cadaver study. In this study, we propose an alternative technique for a posterior lumbar fixation technique called "inferior-oblique transdiscal fixation" (IOTF). SETTING: Study performed at Engineering Center for Orthopedic Research Exellence (ECORE) in Toledo University-Ohio...
July 16, 2018: Journal of Spinal Cord Medicine
Charles Fattal, Benoit Sijobert, Anne Daubigney, Emerson Fachin-Martins, Brigitte Lucas, Jean-Marie Casillas, Christine Azevedo
Context People with spinal cord injury (SCI) experience the effects of a sedentary lifestyle very early on. Literature data suggest that programs using FES-assisted cycling would contribute to reduce the consequences of physical inactivity. The objective was to assess the feasibility of 12-month training on a FES-assisted bike of a subject with paraplegia for 21 years, T3, Asia Impairment Scale (AIS) A. An evaluation of morbidity, self-esteem, satisfaction, quality of life and duration of pedaling was performed...
July 12, 2018: Journal of Spinal Cord Medicine
Alexander B Chew, Katie J Suda, Ursula C Patel, Margaret A Fitzpatrick, Swetha Ramanathan, Stephen P Burns, Charlesnika T Evans
CONTEXT/OBJECTIVE: To evaluate the impact of long-term nitrofurantoin for UTI prophylaxis in veterans with SCI. DESIGN: Matched pairs study. SETTING: Veterans cared for at VA facilities from 10/1/2012-9/30/2013. PARTICIPANTS: Veterans. INTERVENTIONS: n/a. OUTCOMES MEASURES: UTI, positive urine cultures, resistant cultures. METHODS: Cases receiving long-term nitrofurantoin (≥90 days supply) were matched to controls by facility...
July 9, 2018: Journal of Spinal Cord Medicine
Jennifer L Sippel, Sara M Bozeman, Ledjona Bradshaw, Daisha J Cipher, Michael McCarthy, Itala M Wickremasinghe
OBJECTIVES: Describe an interdisciplinary spinal cord injury home care program (SCIHCP), sample demographics for the veteran participants, and initial impact of SCIHCP on health care utilization and mortality. DESIGN: Retrospective review. SETTING: SCIHCP of the Spinal Cord Injury Center, VA North Texas Health Care System (VANTHCS). PARTICIPANTS: Patients with SCI/D enrolled in the SCIHCP during January 6, 2006 through January 9, 2012, whose injury occurred at least one year prior to enrollment(n = 125)...
July 2, 2018: Journal of Spinal Cord Medicine
Elias Ronca, Anke Scheel-Sailer, Hans Georg Koch, Stefan Essig, Mirjam Brach, Nadja Münzel, Armin Gemperli
OBJECTIVE: To identify barriers to access healthcare services and reveal determinants of satisfaction with healthcare services in people with chronic spinal cord injury (SCI). DESIGN: Cross-sectional survey. SETTING: Community setting in Switzerland. PARTICIPANTS: People with chronic SCI. INTERVENTIONS: Non-applicable. OUTCOME MEASURES: Questionnaire-based evaluation of availability and quality of healthcare services for secondary health conditions, satisfaction with fulfillment of healthcare needs, and preference for care from a hypothetical service provider with limited specialized SCI care expertise but in close proximity over comprehensive care from an existing specialized SCI center located at a greater distance...
July 2, 2018: Journal of Spinal Cord Medicine
Semra Aktürk, Ümmühan Aktürk
CONTEXT/OBJECTIVE: The present study was designed to determine the spiritual belief levels of patients with spinal cord injury as well as to examine the socio-demographic factors that affect their spiritual beliefs. DESIGN: This study was designed as a descriptive study. SETTING: The physical therapy and rehabilitation unit of a city Education and Research hospital. PARTICIPANTS: All patients over the age of 18 years who have had spinal cord injuries...
June 29, 2018: Journal of Spinal Cord Medicine
Dimitrios Nouvakis, Konstantinos S Natsis, Antonia Tsika, Georgia Kourtesi, Evangelos Papamichalis, Harilaos Mourtzinos
CONTEXT: Spondylodiscitis, or vertebral osteomyelitis, is an unusual infection of the vertebral bodies and intervertebral discs that can occasionally present with neurological signs. FINDINGS: We present a patient with subacute flaccid paraparesis with associated albuminocytologic dissociation who was eventually diagnosed with spondylodiscitis. CONCLUSION: The case presented depicts a diagnostic difficulty encountered in clinical practice: Albuminocytologic dissociation in CSF is not always attributed to Guillain-Barre syndrome and other possible causes such as obstructive spinal cord lesions must always be considered...
June 25, 2018: Journal of Spinal Cord Medicine
Keith R Cole, Shauna Dudley-Javoroski, Richard K Shields
Objective After spinal cord injury (SCI), hybrid stimulation patterns that interpose paired-pulse doublets over a constant-frequency background may enhance the metabolic "work" (muscle torque) performed by paralyzed muscle. This study examined the effect of background stimulation frequency on the torque contribution of the doublet before and after fatigue. Design Cross-sectional study. Setting Research laboratory in an academic medical center. Participants Five men with chronic sensory and motor-complete SCI and ten non-SCI controls (6 males, 4 females)...
June 20, 2018: Journal of Spinal Cord Medicine
Ryan Fitzpatrick, Richard Baverstock
CONTEXT: Autonomic dysreflexia is a potentially lethal condition experienced by spinal cord injury (SCI) patients. It has a wide range of causes, most of which are genitourinary in nature. However, there has been no documented case of primary bladder cancer as a trigger for recurrent autonomic dysreflexia. FINDINGS: We present a case of a 51-year-old spinal cord injury patient with multiple presentations of autonomic dysreflexia. Work up revealed locally invasive bladder cancer, and following definitive surgery, his symptoms were alleviated...
June 20, 2018: Journal of Spinal Cord Medicine
Brian Chun-Fai Chan, Suzanne M Cadarette, Walter P Wodchis, Murray D Krahn, Nicole Mittmann
OBJECTIVE: To determine the publicly funded health care system lifetime cost-of-illness of spinal cord injury (SCI) from the perspective of the Ontario Ministry of Health and Long-term Care. METHODS: Individuals hospitalized for their first SCI between the years 2005 and 2011 were identified and their health care costs were calculated using Ontario administrative health care data. From this information, lifetime costs were estimated using phase-based costing methods...
June 20, 2018: Journal of Spinal Cord Medicine
Yong-Gui Yu, Jian Yang, Xin-Hua Cheng, Wei Shang, Bing-Hao Zhao, Fei Zhao, Zhi-Guo Chen, Zhen-Hua Huang
Context/Objective Following acute spinal cord injury (ASCI) in rabbits, subarachnoid space injection of Danshen was performed to protect the neurological damage. In this study, we established rabbit models of spinal cord injury using a modified Allen's method. Design After the operation introducing the injuries, the rabbits were randomized into two different groups, control group (normal saline, NS) and Danshen, a component extracted from Chinese herb, treatment group. Each rabbit was supplied with either the drug or placebo at 0...
June 19, 2018: Journal of Spinal Cord Medicine
Sunil Sabharwal, Anthony E Chiodo, Mikaela M Raddatz
CONTEXT/OBJECTIVE: The examination for Spinal Cord Injury (SCI) Medicine subspecialty certification has been administered since 1998, but published information about exam performance or administration is limited. DESIGN: Retrospective review Setting/Participants: We examined de-identified information from the American Board of Physical Medicine and Rehabilitation (ABPMR) database for characteristics and performance of candidates (n = 566) who completed the SCI Medicine Examination over a 10-year period (2005-2014), during which the exam outline and passing standard remained consistent...
June 14, 2018: Journal of Spinal Cord Medicine
Sally M Taylor, Elaine O Cheung, Ruichen Sun, Veronika Grote, Anthony Marchlewski, Elizabeth L Addington
OBJECTIVE: Evaluate the use of complementary therapies during rehabilitation for patients with traumatic spinal cord injury (SCI). DESIGN: Secondary analyses were conducted to identify the use and associated outcomes of complementary therapies provided by occupational therapists (OTs) and physical therapists (PTs) during rehabilitation from a public dataset. SETTING: Inpatient rehabilitation. PARTICIPANTS: A public dataset composed of 1376 patients with SCI that were enrolled in a five-year, multi-center investigation, the SCIRehab Project...
June 8, 2018: Journal of Spinal Cord Medicine
Ashraf S Gorgey, Matthew E Holman
No abstract text is available yet for this article.
June 5, 2018: Journal of Spinal Cord Medicine
Ramiro Palazón-García, Mónica Alcobendas-Maestro, Ana Esclarin-de Ruz, Ana María Benavente-Valdepeñas
CONTEXT: Spasticity is one of the most frequent complications in spinal cord injury (SCI), and is routinely managed with oral pharmacologic therapy. Botulinum toxin (BT) is not accepted as a treatment for spasticity in SCI in Spain but may be used in certain cases of focal distribution. OBJECTIVE: To report the results with BT for treatment of spasticity in SCI. DESIGN AND SETTING: Descriptive retrospective study conducted at a specialist SCI rehabilitation center in Spain, covering patients first treated from 2012 through 2014, and successfully followed up for a minimum of 1 year...
June 5, 2018: Journal of Spinal Cord Medicine
Tarun Arora, Alison Oates, Kaylea Lynd, Kristin E Musselman
Context Comprehensive balance measures with high clinical utility and sound psychometric properties are needed to inform the rehabilitation of individuals with spinal cord injury (SCI). Objective To identify the balance measures used in the SCI population, and to evaluate their clinical utility, psychometric properties and comprehensiveness. Methods Medline, PubMed, Embase, Scopus, Web of Science, and the Allied and Complementary Medicine Database were searched from the earliest record to October 19/16. Two researchers independently screened abstracts for articles including a balance measure and adults with SCI...
June 5, 2018: Journal of Spinal Cord Medicine
Marylou Guihan, Michael S A Richardson
No abstract text is available yet for this article.
June 5, 2018: Journal of Spinal Cord Medicine
Stephanie Wäckerlin, Armin Gemperli, Diana Sigrist-Nix, Ursina Arnet
Context/Objective To evaluate the availability and self-declared unmet need of assistive devices to compensate for impaired hand function of individuals with tetraplegia in Switzerland. Design Cross-sectional survey. Setting Community. Participants Individuals with tetraplegia, aged 16 years or older, living in Switzerland. Interventions not applicable. Outcome Measures The self-report availability and unmet need of 18 assistive devices for impaired hand function was analyzed descriptively. The availability of devices was further evaluated stratified by sex, age, SCI severity, independence in grooming, time since injury, living situation, working status, and income...
June 4, 2018: Journal of Spinal Cord Medicine
Ghassen Gader, Nadhir Karmeni, Imed Ben Saïd, Hafedh Jemel
Context We report the case of a 40-year-old woman with no pathological history, operated from an L4-L5 disc herniation by a left unilateral approach. The dura mater enveloping the left L5 root was accidentally injured at its lateral face causing a breach with CSF leakage. This breach could not be sutured. A few hours after waking, the patient presented an agitation followed by three generalized tonico-clonic seizures. Cerebral imaging revealed pneumocephalus. The patient was hospitalized in an intensive care unit...
May 23, 2018: Journal of Spinal Cord Medicine
Alina Ionela Palimaru, William E Cunningham, Marcus Dillistone, Arturo Vargas-Bustamante, Honghu Liu, Ron D Hays
OBJECTIVE: To describe preferences for survey instruments on health-related quality of life (HRQOL) and subjective well-being (SWB) among adults with spinal cord injury (SCI), and compare perspectives on the instruments between the United States and the United Kingdom. DESIGN: We conducted 20 in-depth interviews. SETTING: Participants were interviewed in their homes, some in person and some via Skype. PARTICIPANTS: A convenience sample of 20 adults with SCI (10 in the US and 10 in the UK) were recruited via print and on-line advertisements...
May 23, 2018: Journal of Spinal Cord Medicine
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