Introduction:The incidence of nontraumatic spinal cord injury (NTSCI) is reported to be higher than that of traumatic spinal cord injury in many countries, making it an area of growing significance. Objectives: With the aging of the global population in coming decades, it is anticipated that the incidence of NTSCIs will increase dramatically. Our aim was to identify and report the causes, patterns, and outcomes of NTSCI in a tertiary care center. Methods: We have reviewed all adult patients who had a NTSCI and were surgically treated with a minimum follow-up of 12 months postoperatively. Demographic and clinical data were collected. Preoperative and postoperative American Spinal Injury Association (ASIA) impairment scales and past follow-up outcomes were assessed. Results: Of 164 patients, 95 (58%) had full recovery and reached ASIA E score at their last follow-up while 69 (42%) were not able to achieve full recovery till ASIA E score. Urinary incontinence and/or bowel incontinence on admission, degenerative pathologies, and thoracic injury level were all notable indicators of limited ASIA score improvement at the last follow-up. Conclusions: Surgically treated NTSCI could result in good neurological recovery with a low complication rate. Nontraumatic spinal cord injury (NTSCI), as the name implies, refers to damage to the spinal cord that resulted from a cause aside from trauma. 1 It is a condition with immense functional implications for the individuals involved. 2 The incidence of NTSCI is difficult to estimate because of its heterogeneous cluster of a wide spectrum of etiologies with varying pathophysiology. [3][4][5] The most described NTSCI causes are degenerative disk disease and spinal canal stenosis, tumors, vascular diseases, and inflammatory conditions. [4][5][6] The incidence of NTSCI is reported to be higher than that of traumatic spinal cord injury in many countries, making it an area of growing significance. 7,8 However, the prevalence of studies on NTSCI has not been widely reported and is lacking. Moreover, NTSCI has not been as

Spontaneous knee dislocation without a history of trauma is a rare entity to witness. Herein, we report a case of a patient who presented to the emergency department (ED) with a history of fever, chills and vomiting associated with progressive right knee swelling, pain and impaired range of motion (ROM). Physical exam of her right knee showed symmetrical swelling with diffuse tenderness and limited ROM due to pain. Joint aspirate and full septic workup confirmed the diagnosis of septic arthritis. Following her management and two events of irrigation and debridement of the septic knee, the patient was discharged. However, after 1-week from discharge, she presented to ED with right leg swelling and tenderness despite being bedbound for 3 months and denying any history of trauma with radiographs showing a posterior knee dislocation. This report aimed to shed a light on this dreadful complication of septic arthritis and highlights the importance of early recognition and management.