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Cervical incomplete spinal cord injury traumatic

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...
September 10, 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...
February 16, 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...
February 16, 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
Elizabeth Le, Bizhan Aarabi, David S Hersh, Kathirkamanthan Shanmuganathan, Cara Diaz, Jennifer Massetti, Noori Akhtar-Danesh
OBJECT Studies of preclinical spinal cord injury (SCI) in rodents indicate that expansion of intramedullary lesions (IMLs) seen on MR images may be amenable to neuroprotection. In patients with subaxial SCI and motor-complete American Spinal Injury Association (ASIA) Impairment Scale (AIS) Grade A or B, IML expansion has been shown to be approximately 900 μm/hour. In this study, the authors investigated IML expansion in a cohort of patients with subaxial SCI and AIS Grade A, B, C, or D. METHODS Seventy-eight patients who had at least 2 MRI scans within 6 days of SCI were enrolled...
June 2015: Journal of Neurosurgery. Spine
Takahiro Masuda, Kei Miyamoto, Kazuhiko Wakahara, Kazu Matsumoto, Akira Hioki, Tetsuya Shimokawa, Katsuji Shimizu, Shinji Ogura, Haruhiko Akiyama
STUDY DESIGN: Retrospective study. PURPOSE: To assess treatment outcomes of snowboarding-related spinal and spinal cord injuries. OVERVIEW OF LITERATURE: Snowboarding-related spinal or spinal cord injury have a great impact on social and sporting activities. METHODS: A retrospective review of 19 cases of surgically treated snowboard-related injury was done. Analyzed parameters included site of injury, type of fracture, peri- and postoperative complications, pre- and postoperative neurological status, activities of daily living, and participation in sports activities at the final follow-up...
February 2015: Asian Spine Journal
R Nardone, Y Höller, A Thomschewski, A C Bathke, A R Ellis, S M Golaszewski, F Brigo, E Trinka
STUDY DESIGN: Transcranial magnetic stimulation study. OBJECTIVES: To further investigate the corticospinal excitability changes after spinal cord injury (SCI), as assessed by means of transcranial magnetic stimulation (TMS). SETTING: Merano (Italy) and Salzburg (Austria). METHODS: We studied resting motor threshold (RMT), motor evoked potential (MEP) amplitude and recruitment curve in five subjects with good recovery after traumatic incomplete cervical SCI...
July 2015: Spinal Cord
Yun Fei Hou, Yang Lv, Fang Zhou, Yun Tian, Hong Quan Ji, Zhi Shan Zhang, Yan Guo
PURPOSE: Tracheostomy may become indispensable for patients with acute traumatic cervical spinal cord injuries. However, the early prediction of a tracheostomy is often difficult. Previous prediction models using the pulmonary function test (PFT) have limitations because some severely injured patients could not provide acceptable PFT results. We aim to develop an alternative model for predicting tracheostomy using accessible data obtained from the bedside. METHOD: Clinical, neurological and radiological data from 345 consecutive patients with acute tetraplegia were retrospectively reviewed...
May 2015: European Spine Journal
Ashan Veerakumar, Jennifer J Cheng, Abraham Sunshine, Xiaobu Ye, Richard D Zorowitz, William S Anderson
OBJECTIVES: To perform an analysis of oral baclofen dosage in patients with traumatic spinal cord injuries over time and to ascertain the clinical determinants of long-term baclofen dosage trends. STUDY DESIGN: Retrospective cohort study of patient records from the PM&R units at the Johns Hopkins Bayview Medical Center and the Johns Hopkins Hospital. SUBJECTS: A total of 115 PM&R patients suffering spinal cord injury due to trauma leading to either complete or incomplete paralysis...
February 2015: Clinical Neurology and Neurosurgery
Ü Güzelküçük, S Kesikburun, Y Demir, B Aras, E Özyörük, B Yılmaz, A K Tan
STUDY DESIGN: Retrospective study. OBJECTIVES: To determine the demographic and clinical characteristics of patients with cervical spinal cord injury (CSCI) admitted to a single Center. SETTING: Turkish Armed Forces Rehabilitation Center, Ankara, Turkey. METHODS: The medical records of all patients with spinal cord injury admitted from January 2009 to December 2013 were screened. Variables of each patient with cervical injury (CSCI), such as age at the time of injury, gender, etiology, degree and level of neurological impairment, associated injuries, surgical stabilization and length of rehabilitation stay (LOS), were analyzed...
June 2015: Spinal Cord
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