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Cervical incomplete spinal cord injury traumatic

J Kriz, M Kulakovska, H Davidova, M Silova, A Kobesova
STUDY DESIGN: A prospective study. OBJECTIVES: Analysis of epidemiological data about acute spinal cord injury (SCI) in the Czech Republic over a period of 10 years (2006-2015). METHODS: A data collection system was implemented in the rehabilitation centres which provides care to patients with acute SCI in the Czech Republic. The recorded variables are as follows: age at time of SCI; gender; cause of injury; neurological level of injury (NLI); and its severity (ASIA Impairment Scale (AIS))...
March 14, 2017: Spinal Cord
Rafael Martínez-Pérez, Santiago Cepeda, Igor Paredes, Jose F Alen, Alfonso Lagares
BACKGROUND: and Purpose: Several studies have looked for an association between radiological findings and neurological outcome after cervical trauma. In the current literature, there is a paucity of evidence proving the prognostic role of soft tissue damage or bony integrity. Our objective is to determine radiological findings related to neurological prognosis in patients after incomplete acute traumatic cervical spinal cord injury, regardless of initial neurological exam. MATERIAL AND METHODS: We retrospectively reviewed patients with acute traumatic cervical Spinal Cord Injury who had an MRI performed within the first 96 hours...
February 16, 2017: World Neurosurgery
Jens A Petersen, Martina Spiess, Armin Curt, Norbert Weidner, Rüdiger Rupp, Rainer Abel, Martin Schubert
BACKGROUND AND OBJECTIVE: The course of central and peripheral motor recovery after cervical spinal cord injury (SCI) may be investigated by electrophysiological measures. The goal of this study was to compare the 2 over the first year after injury in relation to motor gains. METHODS: Compound motor action potentials (CMAPs), motor-evoked potentials (MEPs), and F-waves were recorded from the abductor digiti minimi and CMAP and F-waves from abductor hallucis muscles in 305 patients at about 15 days, 1 month, 3 months, 6 months, and 12 months following an acute traumatic SCI...
January 1, 2017: Neurorehabilitation and Neural Repair
D H Kim, S W Kang, W A Choi, H J Oh
STUDY DESIGN: Retrospective study. OBJECTIVES: To report the successful tracheostomy decannulation/extubation in cervical spinal cord injury (C-SCI) patients. SETTING: Tertiary university hospital, pulmonary rehabilitation center. METHODS: Complete or sensory incomplete C-SCI patients who had received invasive acute phase respiratory management, and succeeded in decannulation/extubation became candidates of this study...
January 24, 2017: Spinal Cord
Zhi Qiu, Fangyong Wang, Yi Hong, Junwei Zhang, Hehu Tang, Xiang Li, Shudong Jiang, Zhen Lv, Shujia Liu, Shizheng Chen, Jiesheng Liu
To investigate the prognostic values of clinical factors 72 h within traumatic cervical spinal cord injury (TCSCI). Data were extracted from the medical materials of 57 TCSCI cases. AIS was used as the outcome measure and divided into dichotomous variables by two methods, i.e. "complete(AIS = A)/incomplete(AIS ≠ A) SCI" and "motor complete(AIS = A or B)/incomplete(AIS ≠ A and B) SCI". Relationships between evaluated factors and outcomes were investigated by univariate and multivariate methods...
December 12, 2016: Scientific Reports
Nicole Forgione, Mahmood Chamankhah, Michael G Fehlings
Cervical spinal cord injury (cSCI) occurs in over half of all cases of traumatic spinal cord injury (SCI), yet we lack therapies that can generate significant functional recovery in these patients. The development of animal models of cSCI will aid in the pre-clinical assessment of therapies and in understanding basic pathophysiological mechanisms. Here, we describe a clinically relevant model of cervical contusion-compression injury in the mouse. Using a modified aneurysm clip, we generated a bilateral, incomplete injury that mimics contusion-compression injuries most commonly observed in humans...
March 15, 2017: Journal of Neurotrauma
Sameer H Halani, Jonathan P Riley, Gustavo Pradilla, Faiz U Ahmad
Traumatic neurologic injury in contact sports is a rare but serious consequence for its players. These injuries are most commonly associated with high-impact collisions, for example in football, but are found in a wide variety of sports. In an attempt to minimize these injuries, sports are trying to increase safety by adding protection for participants. Most recently is the seemingly 'safe' sport of Bubble Soccer, which attempts to protect its players with inflatable plastic bubbles. We report a case of a 16-year-old male sustaining a cervical spine burst fracture with incomplete spinal cord injury while playing Bubble Soccer...
December 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Katherine E Savage, Christina V Oleson, Gregory D Schroeder, Gursukhman S Sidhu, Alexander R Vaccaro
STUDY DESIGN: Systematic review. OBJECTIVE: To determine the incidence, pathogenesis, and clinical outcomes related to neurogenic fevers following traumatic spinal cord injury (SCI). METHODS: A systematic review of the literature was performed on thermodysregulation secondary to acute traumatic SCI in adult patients. A literature search was performed using PubMed (MEDLINE), Cochrane Central Register of Controlled Trials, and Scopus. Using strict inclusion and exclusion criteria, seven relevant articles were obtained...
September 2016: Global Spine Journal
Ehsan Ali Alibai, Fahim Baghban, Majid Reza Farrokhi, Navideh Mohebali, Mohammad Hossein Ashraf
OBJECTIVE: To determine the effects of recombinant human erythropoietin (rhEPO) on functional outcome and disability of patients with traumatic cervical spinal cord injury (SCI). METHODS: This was a randomized, double blind, placebo controlled clinical trial being performed in Nemazee and Shahid Rajaei hospitals of Shiraz during a 3-year period from 2011 to 2014. A total number of 20 patients with acute traumatic cervical SCI less than 8 hours after injury were included...
July 2015: Bulletin of Emergency and Trauma
Yuying Chen, Yin He, Michael J DeVivo
OBJECTIVE: To document trends in the demographic and injury profile of new spinal cord injury (SCI) over time. DESIGN: Cross-sectional analysis of longitudinal data by injury years (1972-1979, 1980-1989, 1990-1999, 2000-2009, 2010-2014). SETTING: Twenty-eight Spinal Cord Injury Model Systems centers throughout the United States. PARTICIPANTS: Persons with traumatic SCI (N=30,881) enrolled in the National Spinal Cord Injury Database...
October 2016: Archives of Physical Medicine and Rehabilitation
Steven C Kirshblum, Amanda L Botticello, Trevor A Dyson-Hudson, Rachel Byrne, Ralph J Marino, Daniel P Lammertse
OBJECTIVE: To assess the patterns of sacral sparing and recovery in newly injured persons with traumatic spinal cord injury (SCI). DESIGN: Retrospective analysis of data from the national Spinal Cord Injury Model Systems (SCIMS) database for patients enrolled from January 2011 to February 2015. SETTING: SCIMS centers. PARTICIPANTS: Individuals (N=1738; age ≥16y) with traumatic SCI admitted to rehabilitation within 30 days after injury with follow-up at discharge, at 1 year, or both...
October 2016: Archives of Physical Medicine and Rehabilitation
J C Furlan, F Verocai, X Palmares, M G Fehlings
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: Although cardiac arrhythmias are relatively well recognized in the chronic stage after spinal cord injury (SCI), little is known regarding its occurrence during the early stage. The objective of this study was to examine electrocardiogram changes within the first 72 h after acute traumatic SCI. SETTING: Acute spine trauma center, Toronto, Ontario, CanadaMethods:This study included all consecutive patients with spine trauma admitted to our institution from January 1998 to June 2007 who had an electrocardiogram within the first 72 h post trauma...
October 2016: Spinal Cord
N Derakhshanrad, M S Yekaninejad, F Vosoughi, F Sadeghi Fazel, H Saberi
STUDY DESIGN: A cross-sectional study. OBJECTIVES: This study was performed for epidemiological assessment of Iranian Traumatic Spinal Cord Injuries (TSCI), referred to a specialized spine center. SETTING: Patient recruitment and evaluations were conducted at the Brain and Spinal Injury Research Center, Tehran, Iran. METHODS: This study was performed from September 2011 to March 2015 on 1137 consecutive TSCIs. History, clinicoradiological findings as well as chronic complications and social integration were recorded...
October 2016: Spinal Cord
Julio C Furlan, B Catharine Craven, Eric M Massicotte, Michael G Fehlings
OBJECTIVE: This cost-utility analysis was undertaken to compare early (≤24 hours since trauma) versus delayed surgical decompression of spinal cord to determine which approach is more cost effective in the management of patients with acute traumatic cervical spinal cord injury (SCI). METHODS: This study includes the patients enrolled into the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS) and admitted at Toronto Western Hospital. Cases were grouped into patients with motor complete SCI and individuals with motor incomplete SCI...
April 2016: World Neurosurgery
Guang-Zhi Ning, Zhi-Ping Mu, Lei Shangguan, Yu Tang, Chang-Qing Li, Zheng-Feng Zhang, Yue Zhou
OBJECTIVE: To describe the epidemiological characteristics and trends of traumatic spinal cord injury in Chongqing, China. STUDY DESIGN: Hospital-based retrospective research. SETTING: Xinqiao Hospital, Chongqing. METHODS: We reviewed medical records of 554 patients with traumatic spinal cord injury (TSCI) admitted to Xinqiao Hospital from 2009 to 2013. Variables included gender, age, marital status, etiology, occupation, time of injury, level of injury, and severity of injury, the length of hospital stay, and treatment...
July 2016: Journal of Spinal Cord Medicine
Ji Cheol Shin, Keung Nyun Kim, Jeehyun Yoo, Il-Sun Kim, Seokhwan Yun, Hyejin Lee, Kwangsoo Jung, Kyujin Hwang, Miri Kim, Il-Shin Lee, Jeong Eun Shin, Kook In Park
In a phase I/IIa open-label and nonrandomized controlled clinical trial, we sought to assess the safety and neurological effects of human neural stem/progenitor cells (hNSPCs) transplanted into the injured cord after traumatic cervical spinal cord injury (SCI). Of 19 treated subjects, 17 were sensorimotor complete and 2 were motor complete and sensory incomplete. hNSPCs derived from the fetal telencephalon were grown as neurospheres and transplanted into the cord. In the control group, who did not receive cell implantation but were otherwise closely matched with the transplantation group, 15 patients with traumatic cervical SCI were included...
2015: Neural Plasticity
Charles H Crawford, Ian Mutchnick, Leah Y Carreon
BACKGROUND: Caring for pediatric spine trauma patients places spine surgeons in situations that require unique solutions for complex problems. Recent case reports have highlighted a specific injury pattern to the lower cervical spine in very young children that is frequently associated with complete spinal cord injury. METHODS: This report describes the presentation and treatment of a C6-C7 dislocation in a 3-year-old patient with an incomplete spinal cord injury...
May 2016: European Spine Journal
Cristina Varela-Lage, Mónica Alcobendas-Maestro, Inmaculada Luque-Ríos, Ana Esclarín-De Ruz, Francisco Talavera-Díaz, Silvia Ceruelo-Abajo
INTRODUCTION: Physically active population over 65 years old is increasing, they are at risk of falls and spinal cord injury in a range of age with significant presence of chronic pathology. AIM: To review the incidence, type of injury, associated complications and functional recovey of spinal cord injury in patients over 65 years. PATIENTS AND METHODS: Retrospective descriptive study about patients over 65 years admitted in Hospital Nacional de Paraplejicos with spinal cord injury from January 2010 to December 2011...
June 1, 2015: Revista de Neurologia
Yong-peng Zhang, Quan-fang Xu, Liang-jie Lu, Jie Li, Jin-jiong Hong
OBJECTIVE: To research the clinical application of lower cervical pedicle screw fixation procedure. METHODS: From September 2011 to July 2013,32 patients underwent posterior pedicle screw-rod system fixation were retrospective analyzed includinig 20 males and 12 females with an average age of 56.4 years old ranging from 21 to 78 years. Among them, 10 patients were traumatic cervical spinal injury, 9 patients were cervical spinal canal tumors, 7 cases were posterior longitudinal ligament ossification of cervical vertebrae, 6 cases were multiple segmental cervical spondylopathy...
February 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Yuying Chen, Ying Tang, Victoria Allen, Michael J DeVivo
OBJECTIVE: To document the demographic and clinical profile of persons who sustained spinal cord injury (SCI) as a result of accidental falls and to determine the usual circumstances surrounding the fall-induced SCI. DESIGN: Cohort study. SETTING: 21 SCI Model Systems centers throughout the United States. PARTICIPANTS: 6,408 individuals with traumatic SCI between 2005 and 2014 were recruited from the National SCI Database...
2016: Journal of Spinal Cord Medicine
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