scholarly journals Clinical Predictors of Neurological Outcome within 72 h after Traumatic Cervical Spinal Cord Injury

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Zhi Qiu ◽  
Fangyong Wang ◽  
Yi Hong ◽  
Junwei Zhang ◽  
Hehu Tang ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurological Outcome ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Clinical Predictors ◽  
Cord Injury

Incidence and Clinical Predictors For Tracheostomy After Cervical Spinal Cord Injury: A National Trauma Databank Review

2011 ◽  
Vol 70 (1) ◽  
pp. 111-115 ◽  
Author(s):  
Bernardino C. Branco ◽  
David Plurad ◽  
Donald J. Green ◽  
Kenji Inaba ◽  
Lydia Lam ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Clinical Predictors ◽  
National Trauma ◽  
Cord Injury

scholarly journals Outcome of Late Anterior Surgery and Arthrodesis of Lower Cervical Spinal Cord Injury

1970 ◽  
Vol 18 (1) ◽  
pp. 47-53
Author(s):  
SMNK Chowdhury ◽  
SU Ahmed ◽  
SA Ara ◽  
SMMA Chowdhury ◽  
SS Hossain ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cervical Spine ◽  
Neurological Deficit ◽  
Neurological Outcome ◽  
Spinal Injury ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Anterior Surgery ◽  
Cord Injury

Objective: To evaluate the efficacy and outcome of late anterior surgery and arthrodesis of lower cervical spinal cord injury. Study design: Prospective Analysis. Setting: Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka; Bangladesh. Subjects and Methods: 32 consecutive patients with sub axial cervical spinal cord injury managed surgically from January 2000 to July 2005 by late anterior surgery and autologous bone graft stabilization considered as study unit. The indications of surgery were persistent cervical spinal cord compression and / or instability of cervical spine. Most cases were admitted late and operations were carried out as late 1 week to 27 weeks after injury. All the patients were investigated by radiograph and MRI of cervical spine accordingly. Post operative patient were followed up for twice, just before discharge from hospital and there-after minimum 3 months to 3 years. Quantification of deficit and neurological outcome were rated by American Spinal Injury Association (ASIA) classification system. Results: Males were found predominant with 93.75% over the female 6.25%; with ratio is 15: 1. Minimum age of the patient is 16 years and maximum age is 55 years. Most frequently (37.50%) encountered group were between the age of 31 to 40 years. Mean age is 32.29±10.09 years. Falling due to slip while carrying heavy load on head and / or neck (37.50%) was the most common cause of sub axial cervical spinal injury followed by road traffic accidents (31.25%), which may not be reported elsewhere till to-date. 31.25% suffered a single vertebral level, 62.50% patients suffered two vertebral levels and 6.25% patients suffered three level vertebral levels. The commonest skeletal level was C5/6 (46.87%) followed by C5 (25.00%) but C5 (46.87%) was commonest neurological level followed by C4 (18.75%). 81.25% of patients sustained a neurological injury. Of these, 75.00% had incomplete neurological deficit. After the operative procedure these incomplete neurological deficit patients have shown very attractive neurological recoveries. 6.25% of total population, who had complete neurological deficit, was graded as ASIA grade - A did not show any neurological recovery. In the current series none of the patients had worsening of neurological deficit due surgical intervention. Conclusion: This study offer significant potential for repairing some of the damage caused by cervical spinal cord injury. Further more, though controversy exists as to the ideal approach and timing (early versus late surgery) we have seen that benefits derived from late anterior surgery in our patients. Key words: Spinal Cord Injury; ASIA impairment scale; Neurological outcome. DOI: 10.3329/jdmc.v18i1.6306 J Dhaka Med Coll. 2009; 18(1) : 47-53

Early Surgical Decompression Improves Neurological Outcome after Complete Traumatic Cervical Spinal Cord Injury: A Meta-Analysis

2019 ◽  
Vol 36 (6) ◽  
pp. 835-844 ◽  
Author(s):  
Paula Valerie ter Wengel ◽  
Philip Charles De Witt Hamer ◽  
Jonah Charley Pauptit ◽  
Niels A. van der Gaag ◽  
F. Cumhur Oner ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurological Outcome ◽  
Cervical Spinal Cord ◽  
Meta Analysis ◽  
Surgical Decompression ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury

scholarly journals An Inertial Measurement Unit-Based Wireless System for Shoulder Motion Assessment in Patients with Cervical Spinal Cord Injury: A Validation Pilot Study in a Clinical Setting

Sensors ◽  
2021 ◽  
Vol 21 (4) ◽  
pp. 1057
Author(s):  
Riccardo Bravi ◽  
Stefano Caputo ◽  
Sara Jayousi ◽  
Alessio Martinelli ◽  
Lorenzo Biotti ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Setting ◽  
Cervical Spinal Cord ◽  
Wearable Sensors ◽  
Cervical Spinal Cord Injury ◽  
Measurement Unit ◽  
Innovative Technology ◽  
Inertial Measurement ◽  
Cord Injury

Residual motion of upper limbs in individuals who experienced cervical spinal cord injury (CSCI) is vital to achieve functional independence. Several interventions were developed to restore shoulder range of motion (ROM) in CSCI patients. However, shoulder ROM assessment in clinical practice is commonly limited to use of a simple goniometer. Conventional goniometric measurements are operator-dependent and require significant time and effort. Therefore, innovative technology for supporting medical personnel in objectively and reliably measuring the efficacy of treatments for shoulder ROM in CSCI patients would be extremely desirable. This study evaluated the validity of a customized wireless wearable sensors (Inertial Measurement Units—IMUs) system for shoulder ROM assessment in CSCI patients in clinical setting. Eight CSCI patients and eight healthy controls performed four shoulder movements (forward flexion, abduction, and internal and external rotation) with dominant arm. Every movement was evaluated with a goniometer by different testers and with the IMU system at the same time. Validity was evaluated by comparing IMUs and goniometer measurements using Intraclass Correlation Coefficient (ICC) and Limits of Agreement (LOA). inter-tester reliability of IMUs and goniometer measurements was also investigated. Preliminary results provide essential information on the accuracy of the proposed wireless wearable sensors system in acquiring objective measurements of the shoulder movements in CSCI patients.

scholarly journals Permanent diaphragmatic deficits and spontaneous respiratory plasticity in a mouse model of incomplete cervical spinal cord injury

2021 ◽  
Vol 284 ◽  
pp. 103568
Author(s):  
Pauline Michel-Flutot ◽  
Arnaud Mansart ◽  
Therese B. Deramaudt ◽  
Isley Jesus ◽  
Kun-Ze Lee ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Mouse Model ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury ◽  
Respiratory Plasticity
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