Long-Term Outcomes and Longitudinal Changes of Neurogenic Bowel Management in Adults With Pediatric-Onset Spinal Cord Injury

2017 ◽  
Vol 98 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Miriam Hwang ◽  
Kathy Zebracki ◽  
Lawrence C. Vogel
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Long Term Outcomes ◽  
Longitudinal Changes ◽  
Bowel Management ◽  
Cord Injury ◽  
Neurogenic Bowel ◽  
Pediatric Onset

Income-to-needs Ratio on Long-Term Outcomes in Adults with Pediatric-Onset Spinal Cord Injury

2017 ◽  
Vol 98 (10) ◽  
pp. e20
Author(s):  
Nikhil Kurapati ◽  
Kathy Zebracki ◽  
Kathleen Chlan ◽  
Lawerence Vogel
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Long Term Outcomes ◽  
Cord Injury ◽  
Pediatric Onset

Long-term outcome of paediatric spinal cord injury

Trauma ◽  
2017 ◽  
Vol 19 (1_suppl) ◽  
pp. 75-82 ◽  
Author(s):  
Richa Kulshrestha ◽  
Naveen Kumar ◽  
J Roy Chowdhury ◽  
Aheed Osman ◽  
W El Masri
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Cord Injuries ◽  
Spinal Injury ◽  
Social Outcomes ◽  
Long Term Outcomes ◽  
Cord Injury ◽  
Post Traumatic ◽  
Clinical Records

Background Spinal cord injuries are relatively uncommon in children and evidence about long-term outcomes is limited. This study was performed to determine the frequency of common long-term complications in patients sustaining spinal injury in childhood (0–18 years) and who were followed up at a single dedicated spinal injuries centre in the UK. Method A retrospective review of clinical records of all patients injured at or less than 18 years of age between 1971 and 1999. Complications studied were renal, bowel, musculoskeletal, pressure ulcers and post-traumatic syringomyelia. Long-term social outcomes of independence, employment and driving were also assessed. Results Of 69 individuals (47 males, 22 females) the median age at injury was 17 years (range 0–18 y); 68% were older than 13 years at injury and 74% had traumatic injuries. Patients had an average duration of 27 years (12–43 years) of spinal injury – half had a neurological level of T6 and above, 80% had paraplegia and 20% had quadriplegia. Discussion Patients with both complete and incomplete spinal cord injury have minimal neurological recovery. Managing medical complications is vital as only 11.5% had normal voiding and 10.6% had normal bowel function. The incidence of skin ulcers increases with duration of spinal cord injury and scoliosis is higher in the non-traumatic injury group. Spasticity is observed in 66.6% and post-traumatic syringomyelia in 11.7%. Long-term social outcomes are good with 75% patients able to do independent care, 46% could drive and 39% managed employment or higher education. Conclusions This study documents the long-term outcomes and complications of spinal cord injuries sustained in childhood. With initial active physiological conservative management of the majority of patients, patient education and ongoing support the majority of patients achieved long-term survival and led independent and productive lives.

scholarly journals Longitudinal changes in medical complications in adults with pediatric-onset spinal cord injury

2013 ◽  
Vol 37 (2) ◽  
pp. 171-178 ◽  
Author(s):  
Miriam Hwang ◽  
Kathy Zebracki ◽  
Kathleen M. Chlan ◽  
Lawrence C. Vogel
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Medical Complications ◽  
Longitudinal Changes ◽  
Cord Injury ◽  
Pediatric Onset

scholarly journals Neurogenic bowel management after spinal cord injury: a systematic review of the evidence

Spinal Cord ◽  
2010 ◽  
Vol 48 (10) ◽  
pp. 718-733 ◽  
Author(s):  
A Krassioukov ◽  
◽  
J J Eng ◽  
G Claxton ◽  
B M Sakakibara ◽  
...  
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Bowel Management ◽  
Cord Injury ◽  
Neurogenic Bowel
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