Fractures and musculoskeletal ailments in persons 20+ years after a traumatic spinal cord injury in Norway

Abstract

Around half of the 165 participants reported to have suffered a fracture and over 100 to experience musculoskeletal ailment 20 years after injury. We suggest that prevention strategies and symptom management must be embedded in follow-up visits after SCI.

Carboxy terminal collagen crosslinks as a prognostic risk factor for fall-related fractures in individuals with established spinal cord injury

“…Twenty-seven percentage of our study group reported fractures at baseline with a 5% fracture rate during the 1-year follow-up. Higher numbers of years since injury were associated with a higher risk of fracture post injury at baseline (see Table 4b), which is similar to previous reports [6, 25–30]. Two out of five individuals in the prospective fall-related fracture group had experienced a previous fracture (see Table 3).…”

Cross-sectional and prospective data-collection in North Macedonia—methodological considerations

“…Our protocol was based on data from four different sources: (a) medical records, (b) clinical examinations, (c) interviews including semistructured and standardized questionnaires, and (d) either clinic attendance or visits to the participant's home. Information extracted from each patient's medical record was to include: demographic data (gender, age at [7] International SCI Skin and Thermoregulation Function Basic Data Set Version 1.0 English [8] International SCI Bowel Function Basic Data Set Version 1.1 English [9] International SCI Pain Basic Data Set Version 2.0 English [10] International SCI Lower Urinary Tract Basic Data Set Version 1.0 English [11] A self-made questionnaire [6] International SCI Core Data Set Version 1.1 English [12] Quality of life basic data set (Version 1.0), English [13] International Standards for Neurological Classification of Spinal Cord Injury, including AIS [5] SCI spinal cord injury; AIS American Spinal Cord Injury Association (ASIA) Impairment Scale injury, and current employment status), date of admission and discharge from the hospital, past medical history, injury-related information, type of injury, neurological level of injury (NLI), and American Spinal Cord Injury Association (ASIA) Impairment Scale (AIS) classification [5], associate injuries, injury-related complications, and mortality. The clinical examination was to include NLI and AIS.…”

“…The clinical examination was to include NLI and AIS. An interview with fixed questions was especially developed based on previous research [6] and clinical experience. The interview included the following topics: complications, sequela, and ailments, mobility and sports aids/equipment, transport, home adjustments, and the use of personal assistance.…”

Feasibility of complex exercise therapy with Standing Ovation and peripheral neuromodulation for gait rehabilitation after incomplete spinal cord injury—a case report

“…Approximately one third of these cases involve incomplete lesions, allowing for some muscle activity below the affected area [3]. In comparison to complete injuries, incomplete SCIs tend to be less severe, although patients still encounter limitations in various aspects of their lives, with an increased vulnerability to falls [4][5][6][7].…”