[article] 
inAnnals of physical and rehabilitation medicine > Vol. 61, n°1 (Janvier 2018) . - p. 27-32

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.
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[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.
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