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Votre centre de documentation sera exceptionnellement fermé de 12h30 à 13h ce lundi 18 novembre.
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Auteur R. Gross |
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Spinal cord injury associated with cervical spinal canal stenosis: Outcomes and prognostic factors / Y. Ronzi in Annals of physical and rehabilitation medicine, Vol. 61, n°1 (Janvier 2018)
[article]
Titre : Spinal cord injury associated with cervical spinal canal stenosis: Outcomes and prognostic factors Type de document : texte imprimé Auteurs : Y. Ronzi ; Brigitte Perrouin-Verbe ; O. Hamel ; R. Gross Année de publication : 2018 Article en page(s) : p. 27-32 Note générale : Doi : 10.1016/j.rehab.2017.09.003 Langues : Anglais (eng) Mots-clés : Spinal cord injury Cervical spinal canal stenosis Cord syndromes Tetraplegia Functional outcome Résumé : Objectives
To specify outcomes and identify prognostic factors of neurologic and functional recovery in patients with an acute traumatic spinal cord injury (SCI) associated with cervical spinal canal stenosis (SCS), without spinal instability.
Methods
A retrospective study was conducted using data from a Regional Department for SCI rehabilitation in France. A description of the population characteristics, clinical data and neurological and functional outcomes of all patients treated for acute SCI due to cervical trauma associated with SCS was performed. A statistical analysis provided insights into the prognostic factors associated with the outcomes.
Results
Sixty-three patients (mean age 60.1 years) were hospitalized for traumatic SCI with SCS and without instability between January 2000 and December 2012. Falls were the most frequent cause of trauma (77.8%). At admission, most patients had an American Spinal Injury Association Impairment Scale (AIS) grade of C (43.3%) or D (41.7%) and the most frequent neurological levels of injury were C4 (35.7%) and C5 (28.6%). Clinical syndromes were frequently identified (78.6%), with the most frequent being the Brown-Sequard plus syndrome (BSPS) (30.9%), followed by central cord syndrome (CCS, 23.8%). Almost 80% of survivors returned to the community, 60% were able to walk and 75% recovered complete voluntary control of bladder function. Identified prognostic factors of favourable functional outcomes were higher AIS at admission, age under 60 years and presence of BSPS or CCS.
Conclusion
Traumatic SCI, associated with SCS results mostly in incomplete injuries, can cause various syndromes and is associated with favourable functional outcomes.Permalink : ./index.php?lvl=notice_display&id=80436
in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 27-32[article] Spinal cord injury associated with cervical spinal canal stenosis: Outcomes and prognostic factors [texte imprimé] / Y. Ronzi ; Brigitte Perrouin-Verbe ; O. Hamel ; R. Gross . - 2018 . - p. 27-32.
Doi : 10.1016/j.rehab.2017.09.003
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 27-32
Mots-clés : Spinal cord injury Cervical spinal canal stenosis Cord syndromes Tetraplegia Functional outcome Résumé : Objectives
To specify outcomes and identify prognostic factors of neurologic and functional recovery in patients with an acute traumatic spinal cord injury (SCI) associated with cervical spinal canal stenosis (SCS), without spinal instability.
Methods
A retrospective study was conducted using data from a Regional Department for SCI rehabilitation in France. A description of the population characteristics, clinical data and neurological and functional outcomes of all patients treated for acute SCI due to cervical trauma associated with SCS was performed. A statistical analysis provided insights into the prognostic factors associated with the outcomes.
Results
Sixty-three patients (mean age 60.1 years) were hospitalized for traumatic SCI with SCS and without instability between January 2000 and December 2012. Falls were the most frequent cause of trauma (77.8%). At admission, most patients had an American Spinal Injury Association Impairment Scale (AIS) grade of C (43.3%) or D (41.7%) and the most frequent neurological levels of injury were C4 (35.7%) and C5 (28.6%). Clinical syndromes were frequently identified (78.6%), with the most frequent being the Brown-Sequard plus syndrome (BSPS) (30.9%), followed by central cord syndrome (CCS, 23.8%). Almost 80% of survivors returned to the community, 60% were able to walk and 75% recovered complete voluntary control of bladder function. Identified prognostic factors of favourable functional outcomes were higher AIS at admission, age under 60 years and presence of BSPS or CCS.
Conclusion
Traumatic SCI, associated with SCS results mostly in incomplete injuries, can cause various syndromes and is associated with favourable functional outcomes.Permalink : ./index.php?lvl=notice_display&id=80436 Exemplaires (1)
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