Prediction of Prognosis in Patients With Cervical Spinal Cord Injury Without Radiologic Evidence of Trauma Using MRI

Ck, Boese; Lechler, Philipp

doi:10.3928/01477447-20140430-02

Cited by 2 publications

(2 citation statements)

References 9 publications

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Section: Methodsmentioning

confidence: 98%

“…In this study, cervical SCIWORA was defined as abnormal neurological findings at the time of visit with no findings of bone fracture and/or dislocation in cervical spine x-ray and computed tomography (CT) at our emergency room and an edematous change that exhibits a high signal in the cervical spinal cord by magnetic resonance imaging (MRI) examination. [7] Table 1 presents the target baseline (age category, cause of injury, Glasgow Coma Scale at the time of visit, respiratory rate, pulse rate, systolic blood pressure, Revised Trauma Score [RTS], Injury Severity Scale [ISS], hospitalization death rate, and hospitalization days). None of the items in Table 1 showed significant differences, including the prognosis of hospitalization and death.…”

Section: Methodsmentioning

confidence: 99%

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Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center

Taira,

Morita,

Miyakawa

et al. 2024

Formos J Surg

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Background Cervical injury due to blunt trauma requires emergency responses; however, few studies have investigated risk factors based on spinal cord injury without radiographic abnormality (SCIWORA). Therefore, this study determined the risk factors for cervical spinal cord injury with radiographic abnormality and SCIWORA. Materials and Methods This study included 4,923 trauma cases transferred to a Japanese trauma center between 2007 and 2013. We analyzed risk factors for cervical spinal cord injury with radiographic abnormality, and SCIWORA using a logistic regression model. The co-efficient factors considered for this study were revised trauma score (RTS), age at arrival, cause of injury (traffic accident, ground-level fall, low- and high-level fall, or other injury). Results Significant independent risk factors of cervical spinal cord injury varied based on the presence or absence of radiographic abnormality. The risk factors for SCIWORA were male (odds ratio [OR]: 2.19, 95% confidence interval (CI): 1.21–3.95), age 65–79 years (OR: 1.71, CI: 1.06–2.78), RTS <7.8408 (OR: 4.98, CI: 2.42–10.26), injury severity scale (OR: 1.07, CI: 1.06–1.09), other injuries (OR: 2.64, CI: 1.11–6.30), low- and high-level fall (OR: 2.18, CI: 1.24–3.83), and ground-level fall (OR: 10.35, CI: 5.65–18.95). Conclusions The risk factors for SCIWORA are male, age 65–79 years, and ground-level fall. Therefore, careful neurologic examination and MRI studies are necessary in the examination of these at-risk patients.

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Section: Methodsmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center

Taira,

Morita,

Miyakawa

et al. 2024

Formos J Surg

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Incidence and risk factors of poor clinical outcomes in patients with cervical kyphosis after cervical surgery for spinal cord injury

Zhang

et al. 2017

TCRM

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ObjectiveThis retrospective study investigated the incidence and risk factors of poor clinical outcomes after cervical surgery for cervical spinal cord injury in a large population of patients with global or segmental cervical kyphosis.MethodsThe clinical and radiological evaluation results of 269 patients with cervical kyphosis who underwent either anterior or posterior surgery between 2008 and 2013 were collected, preoperatively and at each follow-up after surgery.ResultsAll patients were followed for an average of 2.5 years. Outcomes were classified as good or poor (n=156 and 113 patients, respectively), based on the Japanese Orthopedic Association (JOA) recovery ratios. The rates of patients with good or poor outcomes were statistically comparable with regard to gender ratio, type of injury, history of diabetes or cardiovascular disease, interval between injury and surgery, and follow-up time. The multivariate logistic regression analysis indicated that the following were independent predictors of poor improvement: patient age (P=0.016, odds ratio [OR] =1.0261); preoperative JOA scores (P=0.003, OR =0.1932); and cervical instability (P=0.004, OR =2.1562).ConclusionThis study showed that advanced age, low preoperative JOA score, and cervical instability are closely associated with a poor surgical outcome in patients with cervical kyphosis. However, these results do not suggest that the type of cervical kyphosis influences the clinical outcome of surgery.

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Prediction of Prognosis in Patients With Cervical Spinal Cord Injury Without Radiologic Evidence of Trauma Using MRI

Cited by 2 publications

References 9 publications

Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center

Risk factors for spinal cord injury without radiographic abnormality in trauma cases at a single trauma center

Incidence and risk factors of poor clinical outcomes in patients with cervical kyphosis after cervical surgery for spinal cord injury

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