Unrecognized incomplete cervical spinal cord injury: Review of nine new and 28 previously reported cases

Bicknell, Joseph M.; Fielder, Kurt

doi:10.1016/0735-6757(92)90015-p

Cited by 12 publications

(4 citation statements)

References 31 publications

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“…Delayed tSCI diagnosis has been reported in patients with mild injuries [ 31 , 32 ]. Traditionally, physiological parameters, such as paralysis, and injury mechanisms, such as high-energy impact, are crucial for alerting surgeons about tSCI [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the absence of typical neurological impairments or suspicious injury mechanisms may prevent or delay tSCI diagnosis within a reasonable timeline. Bicknell et al [ 31 ] indicated that most cases of delayed tSCI diagnosis were due to incomplete cord injury. Schneider et al [ 34 ] reported that patients with pathological narrowing of the spinal canals may experience central cord injury because of a hyperextension injury resulting from slight trauma.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for 14-day rehospitalization following trauma with new traumatic spinal cord injury diagnosis: A 10-year nationwide study in Taiwan

et al. 2017

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ObjectivesFourteen-day rehospitalization with new traumatic spinal cord injury (tSCI) diagnosis is used as an indicator for the diagnostic quality of the first hospitalization. In this nationwide population-based cohort study, we identified risk factors for this indicator.MethodsWe conducted a nested case–control study by using the data of patients who received a first hospitalization for trauma between 2001 and 2011. The data were retrieved from Taiwan’s National Health Insurance Research Database. Variables including demographic and trauma characteristics were compared between patients diagnosed with tSCI at the first hospitalization and those receiving a 14-day rehospitalization with new tSCI diagnosis.ResultsOf the 23 617 tSCI patients, 997 had 14-day rehospitalization with new tSCI diagnosis (incidence rate, 4.22%). The risk of 14-day rehospitalization with new tSCI diagnosis was significantly lower in patients with severe (injury severity score [ISS] = 16–24; odds ratio [OR], 0.17; 95% confidence interval [CI], 0.13–0.21) and profound (ISS > 24; OR, 0.11; 95% CI, 0.07–0.18) injuries. Interhospital transfer (OR, 8.20; 95% CI, 6.48–10.38) was a significant risk factor, along with injuries at the thoracic (OR, 1.62; 95% CI, 1.21–2.18), lumbar (OR, 1.30; 95% CI, 1.02–1.65), and multiple (OR, 3.23; 95% CI, 1.86–5.61) levels. Brain (OR, 2.82), chest (OR, 2.99), and abdominal (OR, 2.74) injuries were also identified as risk factors. In addition, the risk was higher in patients treated at the orthopedic department (OR, 2.26; 95% CI, 1.78–2.87) and those of other surgical disciplines (OR, 1.89; 95% CI, 1.57–2.28) than in those treated at the neurosurgery department.ConclusionsDelayed tSCI diagnoses are not uncommon, particularly among trauma patients with ISSs < 16 or those who are transferred from lower-level hospitals. Further validation and implementation of evidence-based decision rules is essential for improving the diagnostic quality of traumatic thoracolumbar SCI.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factors for 14-day rehospitalization following trauma with new traumatic spinal cord injury diagnosis: A 10-year nationwide study in Taiwan

et al. 2017

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“…This compression can follow whiplash injuries as a result of extension‐acceleration or hyperextension‐flexion, 11 even at low speeds 17–20 . Older people are also at risk from chiropractic manipulation, 21 myelography, 22 and spinal surgery with intubation for general anesthesia 23,24 . Therefore, cervical extension beyond the patient's awake, preoperative ability should be carefully avoided, 25 particularly in older adults.…”

Section: Discussionmentioning

confidence: 99%

Gentle Cervical Hyperextension Causing Quadriplegia in an Older Man with Symptomatic Cervical Spondylosis

Greene¹,

Gorman²,

Sonntag³

1998

J American Geriatrics Society

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“…Για παράδειγμα, στην περίπτωση άμεσης πλήξης του νευρικού ιστού, η ταχύτητα πλήξης και η μέγιστη συμπίεση είναι καλύτεροι προγνωστικοί παράγοντες της σοβαρότητας της κάκωσης από τη δύναμη ή την επιτάχυνση. Είναι δε γνωστό ότι οι ιξωδοελαστικές ιδιότητες των μαλακών μορίων παρέχουν την κύρια αντίσταση στην παραμόρφωση κατά τις πρώτες φάσεις της κάκωσης (Bicknell andFielder, 1992,Viano andLau, 1988). Η ανοχή του Ν.Μ.…”

Section: μακροσκοπική εικόναunclassified

Κακώσεις Κατώτερης Αυχενικής Μοίρας Της Σπονδυλικής Στήλης

Κασιμάτης¹

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Πρόγραμμα Μεταπτυχιακών Σπουδών στις Κλινικές και Κλινικοεργαστηριακές Ιατρικές Ειδικότητες Ορθοπαιδική Κλινική Δ/ντής: Καθηγητής Παναγιώτης Δημακόπουλος Κ Κα ακ κώ ώσ σε ει ις ς κ κα ατ τώ ώτ τε ερ ρη ης ς α αυ υχ χε εν νι ικ κή ής ς μ μο οί ίρ ρα ας ς τ τη ης ς σ σπ πο ον νδ δυ υλ λι ικ κή ής ς σ στ τή ήλ λη ης ς: : α αν ντ τι ιμ με ετ τώ ώπ πι ισ ση η κ κα αι ι ε επ πι ιπ πλ λο οκ κέ ές ς π πο ου υ σ σχ χε ετ τί ίζ ζο ον ντ τα αι ι μ με ε τ τη η μ μέ έθ θο οδ δο ο τ τη ης ς σ σπ πο ον νδ δυ υλ λο οδ δε εσ σί ία ας ς Γεώργιος Β.

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Unrecognized incomplete cervical spinal cord injury: Review of nine new and 28 previously reported cases

Cited by 12 publications

References 31 publications

Risk factors for 14-day rehospitalization following trauma with new traumatic spinal cord injury diagnosis: A 10-year nationwide study in Taiwan

Risk factors for 14-day rehospitalization following trauma with new traumatic spinal cord injury diagnosis: A 10-year nationwide study in Taiwan

Gentle Cervical Hyperextension Causing Quadriplegia in an Older Man with Symptomatic Cervical Spondylosis

Κακώσεις Κατώτερης Αυχενικής Μοίρας Της Σπονδυλικής Στήλης

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