scholarly journals Acupuncture in Patients with Spinal Cord Injuries: Mobilization of Potential Neuroprogenitors and Clinical Outcome in a Case Series

2021 ◽  
Vol 5 (2) ◽  
pp. 29
Author(s):  
Mingyuan Wu ◽  
Sonja Moldenhauer ◽  
Matthias Duetsch ◽  
Thomas Scheffel ◽  
Rainer Hellweg ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Clinical Outcome ◽  
Spinal Cord Injuries ◽  
Case Series

scholarly journals Magnetic resonance findings and outcome in ten cats with traumatic spondylomyelopathy

2015 ◽  
Vol 84 (4) ◽  
pp. 197-204
Author(s):  
R. Tapia-Nieto ◽  
G. B. Cherubini ◽  
S. Jakovljevic ◽  
A. Caine
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Outcome ◽  
Case Series ◽  
Low Field ◽  
Muscle Trauma ◽  
Bone Injury ◽  
Cord Injury ◽  
Post Traumatic ◽  
Tissue Trauma

In this retrospective study, the MR findings of ten cats with acute post-traumatic spondylomyelopathy were described and the most useful MR sequences were determined. Spinal cord injury (SCI), bone and muscle trauma were compared with the clinical outcome (recovery or euthanasia). The extension of spinal cord injury (SCI) was measured in vertebral body length (VBL). Of the ten cats, only five fully recovered. In the recovery group, no SCI (n=1) or SCI <1 VBL (n=4) were found. In the group of euthanized dogs, SCI > 2 VBLs (n=4) or spinal cord transection (n=1) were found. Lesions were best seen on T2WSE (spinal cord injury), STIR (soft tissue trauma) and T1WSE (bone injury). Low-field MR was therefore helpful to assess feline spinal trauma and may prove helpful to predict the clinical outcome, although a larger case series is needed. The authors suggest that protocols with low-field MR should include T1WSE, T2WSE and STIR sequences.

scholarly journals Demographic characteristics and functional outcomes in patients with traumatic and nontraumatic spinal cord injuries

2012 ◽  
Vol 69 (12) ◽  
pp. 1061-1066 ◽  
Author(s):  
Sasa Milicevic ◽  
Zoran Bukumiric ◽  
Aleksandra Karadzov-Nikolic ◽  
Rade Babovic ◽  
Slobodan Jankovic
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Outcomes ◽  
Spinal Cord Injuries ◽  
Case Series ◽  
Functional Independence ◽  
Demographic Characteristics ◽  
Case Series Study ◽  
Cord Injury ◽  
Detailed Medical History

Background/Aim. Spinal cord injuries (SCI) could be associated with a significant functional impairment in the areas of mobility, self-care, bowel and bladder emptying and sexuality. The aim of this study was to compare demographic characteristics and functional outcomes of nontraumatic and traumatic spinal cord injury patients. Methods. This study was designed as retrospective case series study. A detailed medical history including sex, age, mode of trauma, and clinical and radiological examination was taken for all patients. Hospital records were used to classify the patients according to the following: mechanism of injury, neurological level of injury, functional outcomes, associated injuries, method of treatment, secondary complications and length of stay. The following clinical scores were measured in the patients: American Spinal Injury Association standards (CASTA), Functional Independence Measure (FIM), and Modified Aschworth score (MAS). Results. Out of totally 441 patients with spinal cord injury, 279 were traumatic patients (TSCI) and 162 nontraumatic patients (NTSCI); 322 men and 119 women. The mean age of the patients was 46.1 ? 19.9 years. Traumatic and nontraumatic populations showed several significant differences with regard to age, level and severity of lesion. When adjusted for these factors patients with traumatic injuries showed a significantly lower FIM score at admission and significantly better improvement in the FIM score at discharge. The two populations were discharged with similar functional outcome. Conclusions. The NTSCI patients in our study were younger, more frequently female, with less complications before rehabilitation and less frequently treated operatively than the TSCI patients. Hospital rehabilitation of the TSCI patients was longer than that of the NTSCI patients, but their functional gain from admission was also higher, so at discharge. Traumatic and nontraumatic spinal cord lesion patients achieved similar results in regard to neurological and functional status.

scholarly journals A survey on spinal cord injuries resulting from stabbings; a case series study of 12 years' experience

2013 ◽  
Vol 5 (1) ◽  
pp. 50-68 ◽  
Author(s):  
Hamid Reza Saeidi-Borojeni ◽  
Mehdi Moradinazar ◽  
Alireza Ahmadi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Case Series ◽  
Case Series Study ◽  
Series Study

scholarly journals Etiology and Outcomes of Spinal Cord Infarct: A Case Series From a Level 1 Trauma Center

2019 ◽  
Vol 10 (6) ◽  
pp. 735-740
Author(s):  
Laurence Ge ◽  
Karan Arul ◽  
Michael Stoner ◽  
Addisu Mesfin
Keyword(s):  
Spinal Cord ◽  
Surgical Complications ◽  
Trauma Center ◽  
Spinal Cord Injuries ◽  
Case Series ◽  
Spinal Cord Infarction ◽  
Ischemic Infarction ◽  
Severity Of Injury ◽  
Level 1 ◽  
Level 1 Trauma Center

Study Design: Retrospective study. Objectives: To evaluate the demographics, prevalence, etiology, severity, and outcomes of spinal cord injuries (SCIs) resulting from ischemic infarction. Methods: All patients with SCI and a diagnosis of cord infarct who were admitted to the inpatient rehabilitation unit at a level 1 trauma center from January 2003 to January 2014 were identified using an administrative billing database. Outcomes measures were evaluated. Results: Among 685 unique SCI patients who were identified, 30 (4.4%) had SCI due to spinal ischemic infarction. The mean age was 59 years (range 17-80 years). Fifty percent of patients had ASIA (American Spinal Injury Association) A and B severity. Most common causes were the following: 6 (20%) abdominal aortic aneurysm (AAA) repairs, 6 (20%) arteriovenous fistulas, and 6 (20%) with an unknown cause. Surgical complications led to 4 (13.3%) cord infarcts and was associated with a higher severity of injury ( P = .02) compared with other etiologies. Other causes included systemic hypotension, AAA rupture, trauma, diabetic ketoacidosis, and after radiation therapy. At follow-up, 6 (20%) of patients were able to ambulate normally without assistance, 7 (23.3%) were ambulating with assistance, and 17 (56.7%) were still wheelchair bound. Clinical improvement in ambulatory status was noted in 6 (20%) patients and was associated with less severe initial injury ( P = .02). Conclusions: While the existing literature associates spinal cord infarction with aortic pathologies and surgery, these caused less than 30% of cases, while nonaortic surgical complications were associated with the most severe injuries. Outcomes were worse than previously reported in the literature.

scholarly journals Understanding the Presentations and Patterns of Traumatic Spinal Cord Injuries to Develop the Data Collection Format

2017 ◽  
Vol 14 (02/03) ◽  
pp. 135-141 ◽  
Author(s):  
Ranabir Pal ◽  
Mithasha Singh ◽  
Kiran Kumar ◽  
Vinay Sharma ◽  
Mundlapudi Jahanavi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neck Pain ◽  
Spinal Cord Injuries ◽  
Case Series ◽  
Nerve Fibers ◽  
Limb Weakness ◽  
Presenting Symptoms ◽  
Cord Injury ◽  
Tingling Sensation

Abstract Background The intensity of the damage to the nerve fibers is not measured through the severity of the spinal cord injury. Objective To understand the pattern of neurologic features in traumatic spinal cord injuries. Methods This was a case series of the total care of patients with consecutive acute spinal cord injury at different levels during the years 2015 to 2017, from extrication and transportation following the accident to death, or the completion of primary definitive rehabilitation. This work examined demographic and clinical characteristics of 220 consecutive cases of acute spinal injuries with or without neurologic symptoms subjected to conservative and surgical interventions. Age, sex, addiction patterns of smoking and alcohol, presenting symptoms, neurologic status, and postoperative outcomes are compared with the preoperative findings. Results The registry included 220 patients with spinal injury; majority in 41 to 50 years age group (28.6%) and males (77.7%). Nearly one-half had cervical (46.3%) injuries; 84.3% male; comparable proportion of dorsal and lumbar injuries had male dominance. One-fifth of the patients were smokers and alcoholics, all males. Mean hospital stay was 36.7 ± 140.5 days. Majority presented with neck pain (48.9%), radicular pain (56.4%), limb weakness (73.3%), and tingling sensation (47.7%); 14.4% reported tightness in limbs and 18.8% bladder involvement. In postoperative period, symptoms persisted in varied proportions. Significantly of postoperative neck pain was observed more among males (88.5%), yet symptoms that reduced postoperatively were neck pain, limb weakness, and tingling sensation. However, bladder involvement increased significantly. Conclusion The results showed that greater attention should be paid to older and male population that has more spinal cord injuries while comparable to those of the other studies in neurodeficits and clinical features.

Barrow Innovation Center Case Series: Early Clinical Experience with Novel Surgical Instrument Used To Prevent Intraoperative Spinal Cord Injuries

2018 ◽  
Vol 120 ◽  
pp. e573-e579
Author(s):  
Michael A. Bohl ◽  
Jacob F. Baranoski ◽  
Daniel Sexton ◽  
Peter Nakaji ◽  
Laura A. Snyder ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Clinical Experience ◽  
Spinal Cord Injuries ◽  
Case Series ◽  
Surgical Instrument ◽  
Early Clinical Experience
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