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Journal of Spinal Cord Medicine

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https://www.readbyqxmd.com/read/30388938/is-it-necessary-to-approach-the-compressed-vertebra-bilaterally-during-the-process-of-pkp
#1
Ming Xing Liu, Lei Xia, Jun Zhong, Ning Ning Dou, Bin Li
Objective To assess the clinical and radiological outcomes following unilateral or bilateral approach in percutaneous kyphoplasty (PKP) for treatment of osteoporotic vertebral compression fractures (OVCF). Design Prospective comparative study. Setting University affiliated hospital. Paricipants From 2012 through 2016, those MRI-diagnosed single-level lumbar OVCF patients. Interventions They were randomly assigned for treatment with unilateral or bilateral PKP. Outcome measures We assessed the patient' health status with the Oswestry Disability Index (ODI) questionnaire...
November 2, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30383984/clinical-guiding-significance-of-abdominal-organs-projection-on-the-lateral-lumbar-x-ray-for-spinal-microendoscopy-punctures
#2
Jincai Yang, Yong Hai, Peng Yin, Nan Li, Lijin Zhou, Aixing Pan
AIMS: To measure the anatomical structure of lumbar spine by computed tomography (CT) scan, and explore the posterior edge of abdominal organs on the lateral lumbar X-ray in lateral puncture, in order to provide an anatomical basis for spinal microendoscopy to avoid abdominal organ injury. METHODS: A total of 50 patients with abdominal enhanced CT scan in our hospital were included. The spine from L1 to S1 were divided into 16 axial levels (containing the superior level of vertebral body, middle part of vertebral body, and inferior level of vertebral body) to make out safety zone, critical puncture point and critical angle in accordance with the anatomical position of posterior renal fascia and parietal peritoneum on the lateral lumbar X-ray...
November 1, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30352011/regional-estimates-of-cortical-thickness-in-brain-areas-involved-in-control-of-surgically-restored-limb-movement-in-patients-with-tetraplegia
#3
Lina Bunketorp Käll, Jan Fridén, Malin Björnsdotter
CONTEXT/OBJECTIVE: Spinal cord injury (SCI) causes atrophy of brain regions linked to motor function. We aimed to estimate cortical thickness in brain regions that control surgically restored limb movement in individuals with tetraplegia. DESIGN: Cross-sectional study. SETTING: Sahlgrenska University hospital, Gothenburg, Sweden. PARTICIPANTS: Six individuals with tetraplegia who had undergone surgical restoration of grip function by surgical transfer of one elbow flexor (brachioradialis), to the paralyzed thumb flexor (flexor pollicis longus)...
October 23, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30346256/long-term-compliance-with-bladder-management-in-patients-with-spinal-cord-injury-a-saudi-arabian-perspective
#4
Anas Jehad AlSaleh, Ahmad Zaheer Qureshi, Zilal Syamsuddin Abdin, Ahmed Mushabbab AlHabter
OBJECTIVE: To examine long-term compliance with bladder management in patients with spinal cord injury (SCI) at a tertiary care rehabilitation facility in Saudi Arabia. DESIGN: Cross-sectional survey. SETTING: Tertiary care rehabilitation facility in Saudi Arabia. PARTICIPANTS: A self-administered questionnaire was distributed to patients with SCI during their clinic visits. 50 patients (41 males and nine females) participated in the survey...
October 22, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30346254/dry-needling-technique-decreases-spasticity-and-improves-general-functioning-in-incomplete-spinal-cord-injury-a-case-report
#5
Carlos Cruz-Montecinos, Rodrigo Núñez-Cortés, Trinidad Bruna-Melo, Claudio Tapia, Pablo Becerra, Nicolás Pavez, Sofía Pérez-Alenda
CONTEXT: Spasticity in neurological disorders (i.e. stroke patients and cerebral palsy) is positively improved by dry needling. However, reports are scarce regarding the potential effects of dry needling in reducing spasticity and improving functionality in patients with an incomplete spinal cord injury. The aim of this case report was to study the immediate, short-term effects of dry needling treatment (10 weeks) on spasticity, dynamic stability, walking velocity, self-independence, and pain in a single patient with an incomplete spinal cord injury...
October 22, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30346252/intravascular-large-b-cell-lymphoma-presenting-as-an-isolated-cauda-equina-conus-medullaris-syndrome-a-case-report
#6
Yang Yu, Raghav Govindarajan
CONTEXT: Intravascular large B-cell lymphoma (IVLBCL) is a rare form of Non-Hodgkin lymphoma. The central nervous system, skin and hematopoietic system are the most commonly affected sites. We report a case of IVLBCL presenting as a combined conus medullaris-cauda equina syndrome. FINDINGS: A 55-year-old Caucasian male presented with signs and symptoms of a combined conus medullaris-cauda equina syndrome confirmed by MRI and needle EMG. PET scan revealed a hyperactive focus in the adrenal gland, and biopsy showed evidence of IVLBCL...
October 22, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30346248/midsagittal-tissue-bridges-are-associated-with-walking-ability-in-incomplete-spinal-cord-injury-a-magnetic-resonance-imaging-case-series
#7
Denise R O'Dell, Kenneth A Weber, Jeffrey C Berliner, James M Elliott, Jordan R Connor, David P Cummins, Katherine A Heller, Joshua S Hubert, Megan J Kates, Katarina R Mendoza, Andrew C Smith
CONTEXT: Following spinal cord injury (SCI), early prediction of future walking ability is difficult, due to factors such as spinal shock, sedation, impending surgery, and secondary long bone fracture. Accurate, objective biomarkers used in the acute stage of SCI would inform individualized patient management and enhance both patient/family expectations and treatment outcomes. Using magnetic resonance imaging (MRI) and specifically a midsagittal T2-weighted image, the amount of tissue bridging (measured as spared spinal cord tissue) shows potential to serve as such a biomarker...
October 22, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30335601/self-management-of-pain-and-depression-in-adults-with-spinal-cord-injury-a-scoping-review
#8
Lauren Cadel, Claudia DeLuca, Sander L Hitzig, Tanya L Packer, Aisha K Lofters, Tejal Patel, Sara J T Guilcher
CONTEXT: Pain and depression are two prevalent secondary complications associated with spinal cord injury (SCI) that negatively impact health and well-being. Self-management strategies are growing in popularity for helping people with SCI to cope with their pain and depression. However, there is still a lack of research on which approaches are best suited for this population. OBJECTIVE: The aim of this scoping review was to determine what is known about the self-management of pain and depression through the use of pharmacological and non-pharmacological therapies in adults with SCI...
October 18, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30335593/combining-robotic-exoskeleton-and-body-weight-unweighing-technology-to-promote-walking-activity-in-tetraplegia-following-sci-a-case-study
#9
Shuo-Hsiu Chang, Fangshi Zhu, Neel Patel, Taimoor Afzal, Marcie Kern, Gerard E Francisco
CONTEXT: To investigate the feasibility of combining the lower-limb exoskeleton and body weight unweighing technology for assisted walking in tetraplegia following spinal cord injury (SCI). FINDINGS: A 66-year-old participant with a complete SCI at the C7 level, graded on the American Spinal Injury Association Impairment Scale (AIS) as AIS A, participated in nine sessions of overground walking with the assistance from exoskeleton and body weight unweighing system...
October 18, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30335588/hybrid-assistive-limb-hal-treatment-for-patients-with-severe-thoracic-myelopathy-due-to-ossification-of-the-posterior-longitudinal-ligament-opll-in-the-postoperative-acute-subacute-phase-a-clinical-trial
#10
Shigeki Kubota, Tetsuya Abe, Hideki Kadone, Yukiyo Shimizu, Toru Funayama, Hiroki Watanabe, Aiki Marushima, Masao Koda, Yasushi Hada, Yoshiyuki Sankai, Masashi Yamazaki
CONTEXT/OBJECTIVE: The hybrid assistive limb (HAL) is a wearable exoskeleton robot that assists walking and lower limb movements via real-time actuator control. Our aim was to clarify the safety and feasibility of using the HAL robotic suit for rehabilitation in patients with severe thoracic myelopathy due to ossification of the posterior longitudinal ligament (T-OPLL). DESIGN: Uncontrolled case series; pre- and post-intervention measurement. SETTING: In-patient rehabilitation unit...
October 18, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30299227/early-predictors-of-developing-problematic-spasticity-following-traumatic-spinal-cord-injury-a-prospective-cohort-study
#11
Patricia B Mills, Kaila A Holtz, Elena Szefer, Vanessa K Noonan, Brian K Kwon
OBJECTIVE: To identify early predictors and develop reliable, validated prediction models for development of problematic spasticity after traumatic spinal cord injury (SCI). DESIGN: Prospective cohort study of the Rick Hansen Spinal Cord Injury Registry (RHSCIR), retrospective review of inpatient medical charts. SETTING: Quaternary trauma center, rehabilitation center, community settings. PARTICIPANTS: Individuals with traumatic SCI between March 1, 2005, and March 31, 2014, prospectively enrolled in the Vancouver site RHSCIR...
October 9, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30299216/augmentation-cystoplasty-in-neuropathic-bladder
#12
Sheilagh Reid, Paul Tophill, Nadir Osman, Chris Hillary
OBJECTIVES: To look at the changing role of cystoplasty in the neuropathic population. DESIGN: Retrospective case series. SETTING: Single center over a 10-year period from 2004 to 2014. PARTICIPANTS AND INTERVENTION: In 1995, the Princess Royal spinal injuries unit published the outcomes of 78 neuropathic patients who had undergone cystoplasty in the 10-year period from 1982 to 1992. [Singh G, Thomas DG. Enterocystoplasty in the neuropathic bladder...
October 9, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30277852/change-in-urodynamic-pattern-and-incidence-of-urinary-tract-infection-in-patients-with-traumatic-spinal-cord-injury-practicing-clean-self-intermittent-catheterization
#13
Osama Neyaz, Venkataraman Srikumar, Ameed Equebal, Abhishek Biswas
OBJECTIVE: To observe changes in cystometric parameters in individuals with spinal cord injury (SCI) with neurogenic bladder practicing clean intermittent self-catheterization (CIC) and incidence of urinary tract infection (UTI) in such patients. DESIGN: Prospective, observational study. SETTING: Tertiary Urban Rehabilitation Hospital. PARTICIPANTS: Persons with neurogenic bladder caused by traumatic SCI and practicing CIC...
October 2, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30277850/changes-in-nutrient-intake-and-inflammation-following-an-anti-inflammatory-diet-in-spinal-cord-injury
#14
David J Allison, Kayleigh M Beaudry, Aysha M Thomas, Andrea R Josse, David S Ditor
OBJECTIVE: The objective of the current study was to describe the observed changes in nutrient intakes following a 3-month anti-inflammatory diet, and to explore potential relationships between the change in nutrients and the change in various inflammatory mediators. DESIGN: A secondary analysis of a prior randomized controlled clinical trial. SETTING: Individuals with SCI within the Niagara region. PARTICIPANTS: Twenty individuals with various levels and severities of SCI...
October 2, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30277847/micro-architecture-study-of-the-normal-odontoid-with-micro-computed-tomography
#15
Wei Wang, Zhijun Li, Yingna Qi, Lianxiang Chen, Ping Yi, Feng Yang, Xiangsheng Tang, Mingsheng Tan
INTRODUCTION: Odontoid fractures easily lead to instability, causing spinal cord injury. The aim of this study was to measure and analyze the micro-architecture and morphometric parameters of the normal odontoid with high-resolution three-dimensional (3D) micro-computed tomography (micro-CT). METHODS: Micro-CT scans were obtained from five normal odontoid processes. The scanned data were reconstructed with micro-CT software, and the nutrient foramina and the ossification center of the base of the odontoid were revealed...
October 2, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30277845/healthcare-utilization-following-spinal-cord-injury-objective-findings-from-a-regional-hospital-registry
#16
Seema Sikka, Librada Callender, Simon Driver, Monica Bennett, Megan Reynolds, Rita Hamilton, Ann Marie Warren, Laura Petrey
OBJECTIVE: The purpose was to describe the prevalence and characteristics of healthcare utilization among individuals with spinal cord injury (SCI) from a Level I trauma center. DESIGN: Retrospective data analysis utilizing a local acute trauma registry for initial hospitalization and merged with the Dallas-Fort Worth Hospital Council registry to obtain subsequent health care utilization in the first post-injury year. SETTING: Dallas, TX, USA...
October 2, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/30231216/therapeutic-systemic-hypothermia-for-a-pediatric-patient-with-an-isolated-cervical-spinal-cord-injury
#17
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
https://www.readbyqxmd.com/read/30230978/the-combined-effect-of-granulocyte-colony-stimulating-factor-g-csf-treatment-and-exercise-in-rats-with-spinal-cord-injury
#18
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
https://www.readbyqxmd.com/read/30211668/nerve-root-entrapment-with-pseudomeningocele-after-percutaneous-endoscopic-lumbar-discectomy-a-case-report
#19
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
https://www.readbyqxmd.com/read/30207875/prognostic-validity-of-a-clinical-trunk-control-test-for-independence-and-walking-in-individuals-with-spinal-cord-injury
#20
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
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