Incidence and Outcomes of Spinal Cord Injury Clinical Syndromes

Abstract

Results: One hundred seventy-five patients (20.9%) were diagnosed with SCI clinical syndromes. CCS was the most common (44.0%), followed by CES (25.1%) and BSS (17.1%). Significant differences (P 0.01) were found between groups with regard to age, race, etiology, total admission FIM, motor admission FIM, self-care admission and discharge FIM, and LOS. Statistical analysis between tetraplegic BSS and CCS revealed significant differences (P 0.01) with respect to age (39.7 vs 53.2 years) and a trend toward significance (P 0.05) with regard to self-care admission and discharge FIM. No significant differences (P 0.01) were found when comparing CMS to CES.Conclusions: SCI clinical syndromes represent a significant proportion of admissions to acute SCI rehabilitation, with CCS presenting most commonly and representing the oldest age group with the lowest admission functional level of all SCI clinical syndromes. Patients with cervical BSS seem to achieve higher functional improvement by discharge compared with patients with CCS. Patients with CMS and CES exhibit similar functional outcomes. Patients with ACS and PCS show functional gains with inpatient rehabilitation, with patients with ACS displaying the longest LOS of the SCI clinical syndromes. These findings have important implications for the overall management and outcome of patients with SCI.J Spinal Cord Med. 2007;30:215-224

Animal Models of Neurologic Disorders: A Nonhuman Primate Model of Spinal Cord Injury

“…Finally, the interaction of rehabilitation paradigms with therapeutics to enhance axonal growth is a topic of substantial potential importance, and is being actively investigated. We note that the present model, a C7 hemisection, is similar in nature to a human Brown-Sequard injury that accounts for only 3% of all clinical cases of SCI [68]. Thus, although this model is useful in assessing therapies that target new axonal growth (sprouting or regeneration), it is currently less relevant than contusive rodent models for assessing neuroprotective strategies to improve outcomes after SCI.…”

Parameters for positive outcome of the in-hospital rehabilitation of spinal cord lesion patients: the Boberg Quality Score

“…Next to the determination of the functional status analyses of socio-demographic data are often highlighted. 2,1,[3][4][5][6][7] Other studies focus on the importance of related symptoms such as pain, psychosocial problems and loss of energy in the rehabilitation patient or the compliance of the patient is seen as a main outcome factor. [8][9][10][11][12][13][14][15][16][17] Studies researching the social reintegration mainly focus on occupational situation, living conditions and quality of life.…”

Diagnostic workup of patients with acute transverse myelitis: spectrum of clinical presentation, neuroimaging and laboratory findings

“…7,10 High frequencies of bowel and bladder dysfunction are particularly seen in patients with traumatic conus medullaris syndrome, but may also be present in transverse myelitis. 12,13 Bladder dysfunction was less frequently present in our cohort (19%), which might be because of an overrepresentation of milder and preferably MS-related cases seen at our tertiary care center.…”