Factors affecting outcome of acute cervical spine injury: A prospective study
Background: Injury to the spine and spinal cord is one of the common cause of disability and death. Several factors affect the outcome; but which are these factors (alone and in combination), are determining the outcomes are still unknown. The aim of the study was to evaluate the factors influencing...
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| Veröffentlicht in: | Asian journal of neurosurgery 2017-07, Vol.12 (3), p.416-423 |
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| container_title | Asian journal of neurosurgery |
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| creator | Srinivas, Bhavanam Rajesh, Alugolu Purohit, A |
| description | Background:
Injury to the spine and spinal cord is one of the common cause of disability and death. Several factors affect the outcome; but which are these factors (alone and in combination), are determining the outcomes are still unknown. The aim of the study was to evaluate the factors influencing the outcome following acute cervical spine injury.
Materials and Methods:
A prospective observational study at single-center with all patients with cervical spinal cord injury (SCI), attending our hospital within a week of injury during a period of October 2011 to July 2013 was included for analysis. Demographic factors such as age, gender, etiology of injury, preoperative American Spinal Injury Association (ASIA) grade, upper (C2-C4) versus lower (C5-C7) cervical level of injury, imageological factors on magnetic resonance imaging (MRI), and timing of intervention were studied. Change in neurological status by one or more ASIA grade from the date of admission to 6 months follow-up was taken as an improvement. Functional grading was assessed using the functional independence measure (FIM) scale at 6 months follow-up.
Results:
A total of 39 patients with an acute cervical spine injury, managed surgically were included in this study. Follow-up was available for 38 patients at 6 months. No improvement was noted in patients with ASIA Grade A. Maximum improvement was noted in ASIA Grade D group (83.3%). The improvement was more significant in lower cervical region injuries. Patient with cord contusion showed no improvement as opposed to those with just edema wherein; the improvement was seen in 62.5% patients. Percentage of improvement in cord edema ≤3 segments (75%) was significantly higher than edema with >3 segments (42.9%). Maximum improvement in FIM score was noted in ASIA Grade C and patients who had edema (especially ≤3 segments) in MRI cervical spine.
Conclusions:
Complete cervical SCI, upper-level cervical cord injury, patients showing MRI contusion, edema >3 segments group have worst improvement in neurological status at 6 months follow-up. |
| doi_str_mv | 10.4103/1793-5482.180942 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5532925</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A498729680</galeid><sourcerecordid>A498729680</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3792-ed34779650321188e1d0bb2f3b2195979e983f9daac5d683e32289158ea42aba3</originalsourceid><addsrcrecordid>eNp1ks-L1DAUx4so7rDu3ZMEBPHS2fxo2sSDMCyuCite9BzS9HUmQ5uMSTow__2mdB12QJNDIO_z_cJ731cUbwleVwSzW9JIVvJK0DURWFb0RbGitBKlrEn1slidy1fFTYx7nA8nnGP6uriioqkJJ2JV_LjXJvkQke57MMm6LfJTMn4E5HukzZQAGQhHa_SA4sE6QNbtp3D6hDboEHw8zKojoJim7vSmeNXrIcLN03td_L7_8uvuW_nw8-v3u81DaVgjaQkdq5pG1hwzSogQQDrctrRnLSWSy0aCFKyXndaGd7VgwCgVknABuqK61ey6-Lz4HqZ2hM6AS0EP6hDsqMNJeW3VZcXZndr6o-KcUUl5Nvj4ZBD8nwliUqONBoZBO_BTVCRDeUiCyYy-X9CtHkBZ1_vsaGZcbSopGiprgTO1_geVbwejNd5Bb_P_heDDM8EO9JB20Q9Tst7FSxAvoMnTjgH6c5sEq3kR1Jy0mpNWyyJkybvn4zkL_saegdsFSDsLI6i9n4LLgf3f8hFpibn_</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1925287839</pqid></control><display><type>article</type><title>Factors affecting outcome of acute cervical spine injury: A prospective study</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><source>Thieme Connect Journals Open Access</source><creator>Srinivas, Bhavanam ; Rajesh, Alugolu ; Purohit, A</creator><creatorcontrib>Srinivas, Bhavanam ; Rajesh, Alugolu ; Purohit, A</creatorcontrib><description>Background:
Injury to the spine and spinal cord is one of the common cause of disability and death. Several factors affect the outcome; but which are these factors (alone and in combination), are determining the outcomes are still unknown. The aim of the study was to evaluate the factors influencing the outcome following acute cervical spine injury.
Materials and Methods:
A prospective observational study at single-center with all patients with cervical spinal cord injury (SCI), attending our hospital within a week of injury during a period of October 2011 to July 2013 was included for analysis. Demographic factors such as age, gender, etiology of injury, preoperative American Spinal Injury Association (ASIA) grade, upper (C2-C4) versus lower (C5-C7) cervical level of injury, imageological factors on magnetic resonance imaging (MRI), and timing of intervention were studied. Change in neurological status by one or more ASIA grade from the date of admission to 6 months follow-up was taken as an improvement. Functional grading was assessed using the functional independence measure (FIM) scale at 6 months follow-up.
Results:
A total of 39 patients with an acute cervical spine injury, managed surgically were included in this study. Follow-up was available for 38 patients at 6 months. No improvement was noted in patients with ASIA Grade A. Maximum improvement was noted in ASIA Grade D group (83.3%). The improvement was more significant in lower cervical region injuries. Patient with cord contusion showed no improvement as opposed to those with just edema wherein; the improvement was seen in 62.5% patients. Percentage of improvement in cord edema ≤3 segments (75%) was significantly higher than edema with >3 segments (42.9%). Maximum improvement in FIM score was noted in ASIA Grade C and patients who had edema (especially ≤3 segments) in MRI cervical spine.
Conclusions:
Complete cervical SCI, upper-level cervical cord injury, patients showing MRI contusion, edema >3 segments group have worst improvement in neurological status at 6 months follow-up.</description><identifier>ISSN: 1793-5482</identifier><identifier>EISSN: 2248-9614</identifier><identifier>DOI: 10.4103/1793-5482.180942</identifier><identifier>PMID: 28761518</identifier><language>eng</language><publisher>A-12, 2nd Floor, Sector 2, Noida-201301 UP, India: Thieme Medical and Scientific Publishers Pvt. Ltd</publisher><subject>Analysis ; Magnetic resonance imaging ; Original ; ORIGINAL ARTICLE ; Risk factors ; Spinal fractures</subject><ispartof>Asian journal of neurosurgery, 2017-07, Vol.12 (3), p.416-423</ispartof><rights>Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon.</rights><rights>COPYRIGHT 2017 Medknow Publications and Media Pvt. Ltd.</rights><rights>Copyright: © 2016 Asian Journal of Neurosurgery 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3792-ed34779650321188e1d0bb2f3b2195979e983f9daac5d683e32289158ea42aba3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532925/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532925/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,20870,27901,27902,53766,53768,54562</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28761518$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Srinivas, Bhavanam</creatorcontrib><creatorcontrib>Rajesh, Alugolu</creatorcontrib><creatorcontrib>Purohit, A</creatorcontrib><title>Factors affecting outcome of acute cervical spine injury: A prospective study</title><title>Asian journal of neurosurgery</title><addtitle>Asian J Neurosurg</addtitle><description>Background:
Injury to the spine and spinal cord is one of the common cause of disability and death. Several factors affect the outcome; but which are these factors (alone and in combination), are determining the outcomes are still unknown. The aim of the study was to evaluate the factors influencing the outcome following acute cervical spine injury.
Materials and Methods:
A prospective observational study at single-center with all patients with cervical spinal cord injury (SCI), attending our hospital within a week of injury during a period of October 2011 to July 2013 was included for analysis. Demographic factors such as age, gender, etiology of injury, preoperative American Spinal Injury Association (ASIA) grade, upper (C2-C4) versus lower (C5-C7) cervical level of injury, imageological factors on magnetic resonance imaging (MRI), and timing of intervention were studied. Change in neurological status by one or more ASIA grade from the date of admission to 6 months follow-up was taken as an improvement. Functional grading was assessed using the functional independence measure (FIM) scale at 6 months follow-up.
Results:
A total of 39 patients with an acute cervical spine injury, managed surgically were included in this study. Follow-up was available for 38 patients at 6 months. No improvement was noted in patients with ASIA Grade A. Maximum improvement was noted in ASIA Grade D group (83.3%). The improvement was more significant in lower cervical region injuries. Patient with cord contusion showed no improvement as opposed to those with just edema wherein; the improvement was seen in 62.5% patients. Percentage of improvement in cord edema ≤3 segments (75%) was significantly higher than edema with >3 segments (42.9%). Maximum improvement in FIM score was noted in ASIA Grade C and patients who had edema (especially ≤3 segments) in MRI cervical spine.
Conclusions:
Complete cervical SCI, upper-level cervical cord injury, patients showing MRI contusion, edema >3 segments group have worst improvement in neurological status at 6 months follow-up.</description><subject>Analysis</subject><subject>Magnetic resonance imaging</subject><subject>Original</subject><subject>ORIGINAL ARTICLE</subject><subject>Risk factors</subject><subject>Spinal fractures</subject><issn>1793-5482</issn><issn>2248-9614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>0U6</sourceid><recordid>eNp1ks-L1DAUx4so7rDu3ZMEBPHS2fxo2sSDMCyuCite9BzS9HUmQ5uMSTow__2mdB12QJNDIO_z_cJ731cUbwleVwSzW9JIVvJK0DURWFb0RbGitBKlrEn1slidy1fFTYx7nA8nnGP6uriioqkJJ2JV_LjXJvkQke57MMm6LfJTMn4E5HukzZQAGQhHa_SA4sE6QNbtp3D6hDboEHw8zKojoJim7vSmeNXrIcLN03td_L7_8uvuW_nw8-v3u81DaVgjaQkdq5pG1hwzSogQQDrctrRnLSWSy0aCFKyXndaGd7VgwCgVknABuqK61ey6-Lz4HqZ2hM6AS0EP6hDsqMNJeW3VZcXZndr6o-KcUUl5Nvj4ZBD8nwliUqONBoZBO_BTVCRDeUiCyYy-X9CtHkBZ1_vsaGZcbSopGiprgTO1_geVbwejNd5Bb_P_heDDM8EO9JB20Q9Tst7FSxAvoMnTjgH6c5sEq3kR1Jy0mpNWyyJkybvn4zkL_saegdsFSDsLI6i9n4LLgf3f8hFpibn_</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Srinivas, Bhavanam</creator><creator>Rajesh, Alugolu</creator><creator>Purohit, A</creator><general>Thieme Medical and Scientific Publishers Pvt. Ltd</general><general>Medknow Publications and Media Pvt. Ltd</general><general>Medknow Publications & Media Pvt Ltd</general><scope>0U6</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201707</creationdate><title>Factors affecting outcome of acute cervical spine injury: A prospective study</title><author>Srinivas, Bhavanam ; Rajesh, Alugolu ; Purohit, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3792-ed34779650321188e1d0bb2f3b2195979e983f9daac5d683e32289158ea42aba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Analysis</topic><topic>Magnetic resonance imaging</topic><topic>Original</topic><topic>ORIGINAL ARTICLE</topic><topic>Risk factors</topic><topic>Spinal fractures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Srinivas, Bhavanam</creatorcontrib><creatorcontrib>Rajesh, Alugolu</creatorcontrib><creatorcontrib>Purohit, A</creatorcontrib><collection>Thieme Connect Journals Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Asian journal of neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Srinivas, Bhavanam</au><au>Rajesh, Alugolu</au><au>Purohit, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors affecting outcome of acute cervical spine injury: A prospective study</atitle><jtitle>Asian journal of neurosurgery</jtitle><addtitle>Asian J Neurosurg</addtitle><date>2017-07</date><risdate>2017</risdate><volume>12</volume><issue>3</issue><spage>416</spage><epage>423</epage><pages>416-423</pages><issn>1793-5482</issn><eissn>2248-9614</eissn><abstract>Background:
Injury to the spine and spinal cord is one of the common cause of disability and death. Several factors affect the outcome; but which are these factors (alone and in combination), are determining the outcomes are still unknown. The aim of the study was to evaluate the factors influencing the outcome following acute cervical spine injury.
Materials and Methods:
A prospective observational study at single-center with all patients with cervical spinal cord injury (SCI), attending our hospital within a week of injury during a period of October 2011 to July 2013 was included for analysis. Demographic factors such as age, gender, etiology of injury, preoperative American Spinal Injury Association (ASIA) grade, upper (C2-C4) versus lower (C5-C7) cervical level of injury, imageological factors on magnetic resonance imaging (MRI), and timing of intervention were studied. Change in neurological status by one or more ASIA grade from the date of admission to 6 months follow-up was taken as an improvement. Functional grading was assessed using the functional independence measure (FIM) scale at 6 months follow-up.
Results:
A total of 39 patients with an acute cervical spine injury, managed surgically were included in this study. Follow-up was available for 38 patients at 6 months. No improvement was noted in patients with ASIA Grade A. Maximum improvement was noted in ASIA Grade D group (83.3%). The improvement was more significant in lower cervical region injuries. Patient with cord contusion showed no improvement as opposed to those with just edema wherein; the improvement was seen in 62.5% patients. Percentage of improvement in cord edema ≤3 segments (75%) was significantly higher than edema with >3 segments (42.9%). Maximum improvement in FIM score was noted in ASIA Grade C and patients who had edema (especially ≤3 segments) in MRI cervical spine.
Conclusions:
Complete cervical SCI, upper-level cervical cord injury, patients showing MRI contusion, edema >3 segments group have worst improvement in neurological status at 6 months follow-up.</abstract><cop>A-12, 2nd Floor, Sector 2, Noida-201301 UP, India</cop><pub>Thieme Medical and Scientific Publishers Pvt. Ltd</pub><pmid>28761518</pmid><doi>10.4103/1793-5482.180942</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Asian journal of neurosurgery, 2017-07, Vol.12 (3), p.416-423 |
| issn | 1793-5482 2248-9614 |
| language | eng |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access; Thieme Connect Journals Open Access |
| subjects | Analysis Magnetic resonance imaging Original ORIGINAL ARTICLE Risk factors Spinal fractures |
| title | Factors affecting outcome of acute cervical spine injury: A prospective study |
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