Recovery after traumatic thoracic- and lumbar spinal cord injury: the neurological level of injury matters
| العنوان: | Recovery after traumatic thoracic- and lumbar spinal cord injury: the neurological level of injury matters |
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| المؤلفون: | Jiri Kriz, John L.K. Kramer, Rainer Abel, Doris Maier, Ronald H. M. A. Bartels, Anton F.J. de Haan, Rüdiger Rupp, Allard J. F. Hosman, Eveline M. J. R. Brouwers, Norbert Weidner, Henk van de Meent, Armin Curt |
| المساهمون: | University of Zurich, Brouwers, Eveline M J R |
| المصدر: | Spinal Cord, 58, 9, pp. 980-987 Spinal Cord, 58, 980-987 |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | 030506 rehabilitation, medicine.medical_treatment, Cauda equina syndrome, 610 Medicine & health, Lower motor neuron, 03 medical and health sciences, 0302 clinical medicine, medicine, Spinal cord injury, Rehabilitation, business.industry, Other Research Radboud Institute for Health Sciences [Radboudumc 0], General Medicine, medicine.disease, Spinal cord, Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3], Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10], Lumbar Spinal Cord, Upper motor neuron syndrome, medicine.anatomical_structure, 2728 Neurology (clinical), Neurology, Anesthesia, 2808 Neurology, 10046 Balgrist University Hospital, Swiss Spinal Cord Injury Center, Neurology (clinical), 0305 other medical science, Paraplegia, business, 030217 neurology & neurosurgery |
| الوصف: | Item does not contain fulltext STUDY DESIGN: Multicenter prospective cohort. OBJECTIVE: To discern neurological- and functional recovery in patients with a traumatic thoracic spinal cord injury (TSCI), conus medullaris syndrome (CMS), and cauda equina syndrome (CES). SETTING: Specialized spinal cord injury centers in Europe. METHOD: Lower extremity motor score (LEMS) and spinal cord independent measure (SCIM) scores from patients with traumatic TSCI, CMS, and CES were extracted from the EMSCI database. Scores from admittance and during rehabilitation at 1, 3, 6, and 12 months were compared. Linear mixed models were used to statistically analyse differences in outcome, which were corrected for the ASIA Impairment Scale (AIS) in the acute phase. RESULTS: Data from 1573 individuals were analysed. Except for the LEMS in patients with a CES AIS A, LEMS, and SCIM significantly improved over time for patients with a TSCI, CMS, and CES. Irrespectively of the AIS score, recovery in 12 months after trauma as measured by the LEMS showed a statistically significant difference between patients with a TSCI, CMS, and CES. Analysis of SCIM score showed no difference between patients with TSCI, CMS, or CES. CONCLUSION: Difference in recovery between patients with a traumatic paraplegia is based on neurological (motor) recovery. Regardless the ceiling effect in CES patients, patients with a mixed upper and lower motor neuron syndrome (CMS) showed a better recovery compared with patients with a upper motor neuron syndrome (TSCI). These findings enable stratifications of patients with paraplegia according to the level and severity of SCI. |
| وصف الملف: | s41393-020-0463-1.pdf - application/pdf |
| تدمد: | 1362-4393 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8dc34c900a492392e9086f7cf67523a3 https://hdl.handle.net/2066/225141 |
| Rights: | RESTRICTED |
| رقم الانضمام: | edsair.doi.dedup.....8dc34c900a492392e9086f7cf67523a3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13624393 |
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