Neurologic deterioration after cervical spinal cord injury
Neurologic deterioration after cervical spinal cord injury (SCI) at a regional spinal cord center was examined. This study examined the incidence of neurologic deterioration as well as associated risk factors in our patient population. Up to 5.8% of cervical SCI patients have been noted to deteriora...
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| Veröffentlicht in: | Journal of spinal disorders 1998-06, Vol.11 (3), p.192-196 |
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| container_title | Journal of spinal disorders |
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| creator | FARMER, J VACCARO, A ALBERT, T. J MALONE, S BALDERSTON, R. A COTLER, J. M |
| description | Neurologic deterioration after cervical spinal cord injury (SCI) at a regional spinal cord center was examined. This study examined the incidence of neurologic deterioration as well as associated risk factors in our patient population. Up to 5.8% of cervical SCI patients have been noted to deteriorate neurologically after admission. Risk factors have been early surgery, halo application, traction, and Stryker frame rotation. All cervical SCI patients admitted between 1978 and 1993 who had neurologic deterioration were studied for characteristics of their event, operative status, risk factors, mortality, and neurologic return at 1 year postinjury. Patients were divided into minor and major groups based on the degree of neurologic loss. Nineteen of 1,031 patients were identified as neurologically deteriorated (1.84%). There were 8 major and 11 minor group patients. The average time from injury to deterioration was 3.95 days. Of 10 patients undergoing surgery at < or =5 days, 8 deteriorated postoperatively. Potential risk factors were ankylosing spondylitis (three patients), sepsis (four patients), and intubation (four patients). Neurologic recovery at 1 year showed that 11 of 12 patients were improved. Neurologic deterioration occurred in 1.84% of our patients. Deteriorations were associated with surgery at |
| doi_str_mv | 10.1097/00002517-199806000-00002 |
| format | Article |
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J ; MALONE, S ; BALDERSTON, R. A ; COTLER, J. M</creator><creatorcontrib>FARMER, J ; VACCARO, A ; ALBERT, T. J ; MALONE, S ; BALDERSTON, R. A ; COTLER, J. M</creatorcontrib><description>Neurologic deterioration after cervical spinal cord injury (SCI) at a regional spinal cord center was examined. This study examined the incidence of neurologic deterioration as well as associated risk factors in our patient population. Up to 5.8% of cervical SCI patients have been noted to deteriorate neurologically after admission. Risk factors have been early surgery, halo application, traction, and Stryker frame rotation. All cervical SCI patients admitted between 1978 and 1993 who had neurologic deterioration were studied for characteristics of their event, operative status, risk factors, mortality, and neurologic return at 1 year postinjury. Patients were divided into minor and major groups based on the degree of neurologic loss. Nineteen of 1,031 patients were identified as neurologically deteriorated (1.84%). There were 8 major and 11 minor group patients. The average time from injury to deterioration was 3.95 days. Of 10 patients undergoing surgery at < or =5 days, 8 deteriorated postoperatively. Potential risk factors were ankylosing spondylitis (three patients), sepsis (four patients), and intubation (four patients). Neurologic recovery at 1 year showed that 11 of 12 patients were improved. Neurologic deterioration occurred in 1.84% of our patients. Deteriorations were associated with surgery at <5 days after injury, ankylosing spondylitis, sepsis, and intubation.</description><identifier>ISSN: 0895-0385</identifier><identifier>EISSN: 1531-2305</identifier><identifier>DOI: 10.1097/00002517-199806000-00002</identifier><identifier>PMID: 9657541</identifier><identifier>CODEN: JSDIEW</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams and Wilkins</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cervical Vertebrae - injuries ; Female ; Humans ; Incidence ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Middle Aged ; Nerve Degeneration - epidemiology ; Nerve Degeneration - etiology ; Postoperative Period ; Risk Factors ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - epidemiology ; Spinal Cord Injuries - surgery ; Spinal Fractures - complications ; Spinal Fractures - epidemiology ; Spondylitis, Ankylosing - epidemiology ; Traumas. 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J</creatorcontrib><creatorcontrib>MALONE, S</creatorcontrib><creatorcontrib>BALDERSTON, R. A</creatorcontrib><creatorcontrib>COTLER, J. M</creatorcontrib><title>Neurologic deterioration after cervical spinal cord injury</title><title>Journal of spinal disorders</title><addtitle>J Spinal Disord</addtitle><description>Neurologic deterioration after cervical spinal cord injury (SCI) at a regional spinal cord center was examined. This study examined the incidence of neurologic deterioration as well as associated risk factors in our patient population. Up to 5.8% of cervical SCI patients have been noted to deteriorate neurologically after admission. Risk factors have been early surgery, halo application, traction, and Stryker frame rotation. All cervical SCI patients admitted between 1978 and 1993 who had neurologic deterioration were studied for characteristics of their event, operative status, risk factors, mortality, and neurologic return at 1 year postinjury. Patients were divided into minor and major groups based on the degree of neurologic loss. Nineteen of 1,031 patients were identified as neurologically deteriorated (1.84%). There were 8 major and 11 minor group patients. The average time from injury to deterioration was 3.95 days. Of 10 patients undergoing surgery at < or =5 days, 8 deteriorated postoperatively. Potential risk factors were ankylosing spondylitis (three patients), sepsis (four patients), and intubation (four patients). Neurologic recovery at 1 year showed that 11 of 12 patients were improved. Neurologic deterioration occurred in 1.84% of our patients. Deteriorations were associated with surgery at <5 days after injury, ankylosing spondylitis, sepsis, and intubation.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cervical Vertebrae - injuries</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nerve Degeneration - epidemiology</subject><subject>Nerve Degeneration - etiology</subject><subject>Postoperative Period</subject><subject>Risk Factors</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - epidemiology</subject><subject>Spinal Cord Injuries - surgery</subject><subject>Spinal Fractures - complications</subject><subject>Spinal Fractures - epidemiology</subject><subject>Spondylitis, Ankylosing - epidemiology</subject><subject>Traumas. 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Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nerve Degeneration - epidemiology</topic><topic>Nerve Degeneration - etiology</topic><topic>Postoperative Period</topic><topic>Risk Factors</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - epidemiology</topic><topic>Spinal Cord Injuries - surgery</topic><topic>Spinal Fractures - complications</topic><topic>Spinal Fractures - epidemiology</topic><topic>Spondylitis, Ankylosing - epidemiology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>FARMER, J</creatorcontrib><creatorcontrib>VACCARO, A</creatorcontrib><creatorcontrib>ALBERT, T. J</creatorcontrib><creatorcontrib>MALONE, S</creatorcontrib><creatorcontrib>BALDERSTON, R. A</creatorcontrib><creatorcontrib>COTLER, J. 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M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurologic deterioration after cervical spinal cord injury</atitle><jtitle>Journal of spinal disorders</jtitle><addtitle>J Spinal Disord</addtitle><date>1998-06-01</date><risdate>1998</risdate><volume>11</volume><issue>3</issue><spage>192</spage><epage>196</epage><pages>192-196</pages><issn>0895-0385</issn><eissn>1531-2305</eissn><coden>JSDIEW</coden><abstract>Neurologic deterioration after cervical spinal cord injury (SCI) at a regional spinal cord center was examined. This study examined the incidence of neurologic deterioration as well as associated risk factors in our patient population. Up to 5.8% of cervical SCI patients have been noted to deteriorate neurologically after admission. Risk factors have been early surgery, halo application, traction, and Stryker frame rotation. All cervical SCI patients admitted between 1978 and 1993 who had neurologic deterioration were studied for characteristics of their event, operative status, risk factors, mortality, and neurologic return at 1 year postinjury. Patients were divided into minor and major groups based on the degree of neurologic loss. Nineteen of 1,031 patients were identified as neurologically deteriorated (1.84%). There were 8 major and 11 minor group patients. The average time from injury to deterioration was 3.95 days. Of 10 patients undergoing surgery at < or =5 days, 8 deteriorated postoperatively. Potential risk factors were ankylosing spondylitis (three patients), sepsis (four patients), and intubation (four patients). Neurologic recovery at 1 year showed that 11 of 12 patients were improved. Neurologic deterioration occurred in 1.84% of our patients. Deteriorations were associated with surgery at <5 days after injury, ankylosing spondylitis, sepsis, and intubation.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams and Wilkins</pub><pmid>9657541</pmid><doi>10.1097/00002517-199806000-00002</doi><tpages>5</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Biological and medical sciences Cervical Vertebrae - injuries Female Humans Incidence Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Middle Aged Nerve Degeneration - epidemiology Nerve Degeneration - etiology Postoperative Period Risk Factors Spinal Cord Injuries - complications Spinal Cord Injuries - epidemiology Spinal Cord Injuries - surgery Spinal Fractures - complications Spinal Fractures - epidemiology Spondylitis, Ankylosing - epidemiology Traumas. Diseases due to physical agents Treatment Outcome |
| title | Neurologic deterioration after cervical spinal cord injury |
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