Determining prognosis after spinal cord injury

Vázquez, Xavier; Rodriguez, Maria Sol; Peñaranda, José Manuel Suárez; Concheiro, L.; Barús, José Ignacio Muñoz

doi:10.1016/j.jflm.2007.06.003

Cited by 23 publications

(24 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, no standard functional outcome measure was used in their assessment. Stability of neurological outcome was reached within a year from the time of the injury, and even less for complete injuries (Vazquez et al, 2008).…”

Section: Injury-related Predictorsmentioning

confidence: 96%

“…The rate of improvement was least in ASIA A patients; 94% of them remained complete upon discharge and none of them was functional. In contrast, incomplete injury patients experienced better recovery; one third of ASIA B had neurological recovery and 33.3% of them were functional, 76.4% of ASIA C improved neurologically, with all of them functional, and all ASIA D were functional upon discharge (Vazquez et al, 2008). However, no standard functional outcome measure was used in their assessment.…”

Section: Injury-related Predictorsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Predictors of Recovery after Blunt Spinal Cord Trauma: Systematic Review

Al‐Habib

Attabib

Ball

et al. 2011

Journal of Neurotrauma

View full text Add to dashboard Cite

Several clinical, imaging, and therapeutic factors affecting recovery following spinal cord injury (SCI) have been described. A systematic review of the topic is still lacking. Our primary aim was to systematically review clinical factors that may predict neurological and functional recovery following blunt traumatic SCI in adults. Such work would help guide clinical care and direct future research. Both Medline and Embase (to April 2008) were searched using index terms for various forms of SCI, paraplegia, or quadri=tetraplegia, and functional and neurological recovery. The search was limited to published articles that were in English and included human subjects. Article selection included class I and II evidence, blunt traumatic SCI, injury level above L1-2, baseline assessment within 72 h of injury, use of American Spinal Injury Association (ASIA) scoring system for clinical assessment, and functional and neurological outcome. A total of 1526 and 1912 citations were located from Medline and Embase, respectively. Two surgeons reviewed the titles, abstracts, and full text articles for each database. Ten articles were identified, only one of which was level 1 evidence. Age and gender were identified as two patient-related predictors. While motor and functional recovery decreased with advancing age for complete SCI, there was no correlation considering incomplete ones. Therefore, treatment should not be restructured based on age in incomplete SCI. Among injury-related predictors, severity of SCI was the most significant. Complete injuries correlated with increased mortality and worse neurological and functional outcomes. Other predictors included SCI level, energy transmitted by the injury, and baseline electrophysiological testing.

show abstract

Section: Injury-related Predictorsmentioning

confidence: 96%

Section: Injury-related Predictorsmentioning

confidence: 99%

Clinical Predictors of Recovery after Blunt Spinal Cord Trauma: Systematic Review

Al‐Habib

Attabib

Ball

et al. 2011

Journal of Neurotrauma

View full text Add to dashboard Cite

show abstract

“…The AIS has strong prognostic value that has been shown across various functional outcomes [18,19,21]. van Middendorp et al [18] reported excellent predictive values of the AIS scores regarding predicting independent ambulation at 1 year.…”

Section: Validationmentioning

confidence: 99%

“…Diagnosis of an AIS Grade A injury after resolution of spinal shock has a remarkably strong-albeit unfortunatecorrelation with future inability to regain functional motor capacity [6,21]. Kirshblum et al [6] presented a longitudinal study of patients with spinal cord injury and found that only 2.1% patients with a complete injury improved to having an incomplete injury by 5 years.…”

Section: Validationmentioning

confidence: 99%

Classifications In Brief: American Spinal Injury Association (ASIA) Impairment Scale

Roberts

Leonard

Cepela

2017

Clinical Orthopaedics &Amp; Related Research

509

308

View full text Add to dashboard Cite

“…Following SCI, factors affecting neurologic recovery are etiology and severity of injury. Neurological improvement is more common in incomplete injuries (8) . Marino et al (10) found that %66.7 of the patients with grade C had progressed to grade D and only %3.8 of the patients with grade C had progressed to grade E in 1 year.…”

Section: Dıscussıonmentioning

confidence: 99%

A rare lumbar spinal column injury: glass injury

Toker¹,

Atilla²,

Kılıç³

et al. 2016

Terh

View full text Add to dashboard Cite

Penetrating injuries to the vertebral column and the spinal cord are rare. Cauda equina injury caused by broken glass shards is even rarer than expected. In this study, a case of spinal column injury was reported in a 25-year-old female patient with glass shards stabbed in to her back, after falling back on top of the table made of glass. A piece of stabbed glass shards was extracted and the wound was sutured at another hospital before she presented to our emergency service. At the time of presentation, the patient had 2/5 muscle strength on her right leg and hypoesthesia below the L4 level. After emergency surgical intervention, the sensory deficit and the muscle strength have completely improved, and the patient was discharged after 6 days. In penetrating traumas to the lumbar region, emergency physician must keep possible spinal column injury in mind. Key words: Lumbar vertebra/injury, wounds, penetrating/diagnosis ÖZSpinal kolon ve spinal kordun penetran yaralanmaları enderdir. Cam kırılmasına bağlı cauda equina yaralanması beklenenden daha enderdir. Bu makalede cam masa üzerine düşme sonrası, sırtına cam saplanması nedeniyle spinal kolon yaralanması olan 25 yaşında bir kadın hasta sunulmuştur. Hastanın acil servisimize gelmeden önce başka bir hastanede saplanan cam parçasının bir parçası çıkarılmış ve yarası dikilmişti. Hastanın başvurusu sırasında sağ bacakta 2/5 kas gücü ve L4 seviyesinin altında hipoestezisi mevcuttu. Acil cerrahi müdahale sonrası hastada duyu ve motor defisit tamamen düzelmiş ve hasta operasyondan 6 gün sonra taburcu edilmişti. Lomber bölgeye olan penetran travmalarda, acil tıp hekimi spinal kolon yaralanması olabileceğini akılda bulundurmalıdır. Araşt. Hast. Dergisi 2016; 26(3):250-252 doi:10.5222/terh.2016.250 ıntroDuCtıon Injuries to the spinal cord have high morbidity rate and affects commonly young, healthful persons (1) . Stabbing injuries to the spinal cord, also named nonmissile penetrating spinal injuries (NMPSI) are unusual in clinical practice (2) . A nation-wide epidemiological study in Turkey showed that nonmissile penetrating injuries involve %3.3 of all spinal injuries (3) . We present a case with neurological deficit due to penetrating injury in the lumbar region which resolved after surgery. CasE rEportA 25-year-old woman applied to the emergency department (ED) with chief complaint of weakness in the right leg after falling back on the top of the table made of glass. A piece of stabbed glass was removed and the wound was sutured at another hospital before she presented to our ED. Her vital signs were within normal limits and a linear sutured laceration, approximately 4 cm in length, on the right paraspinal region at the L4 level was revealed. At the time of presentation, the patient had muscle strength of 2/5 on

show abstract

Determining prognosis after spinal cord injury

Cited by 23 publications

References 11 publications

Clinical Predictors of Recovery after Blunt Spinal Cord Trauma: Systematic Review

Clinical Predictors of Recovery after Blunt Spinal Cord Trauma: Systematic Review

Classifications In Brief: American Spinal Injury Association (ASIA) Impairment Scale

A rare lumbar spinal column injury: glass injury

Contact Info

Product

Resources

About