Document Detail


Non-traumatic spinal cord lesions: epidemiology, complications, neurological and functional outcome of rehabilitation.
MedLine Citation:
PMID:  18936767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Prospective cross-sectional study.
OBJECTIVE: To study epidemiology, complication, neurological and functional outcome in non-traumatic spinal cord lesions (NTSCL) after inpatient rehabilitation.
SETTING: Neurological rehabilitation unit of a tertiary research hospital.
METHODS: Sixty-four patients (M/F=28:36) with NTSCL admitted from June 2005 to January 2008 for multidisciplinary rehabilitation. Epidemiology, medical complications during stay in rehabilitation, admission and discharge--Barthel Index (BI) and American Spinal Injury Association (ASIA) impairment scale for functional and neurological recovery, respectively, were recorded and analyzed.
RESULTS: NTSCL constituted 60% (64 of 106) of the total SCL patients admitted for rehabilitation during the same period. Female patients outnumbered males (56.25%) in the study. Mean age, duration of illness and duration of stay in rehabilitation were 30.64+/-13.67 years (6-57), 7.09+/-9.15 months (1-48) and 55.75+/-40.91 days (14-193), respectively. The ratio of paraplegia and quadriplegia was 2:1. Forty-four patients (68.75%) had incomplete cord lesion according to the ASIA impairment scale. Spinal tumors (26.6%) were found to be the most common etiology, followed by Pott's spine (25%) and transverse myelitis (22%). Urinary tract infection was found to be the most common complication (50%), followed by spasticity (35.93%) and urinary incontinence (31.25%). The mean BI scores showed significant (P=0.000) functional recovery during rehabilitation using paired Student's t-test. The ASIA impairment scale showed significant neurological recovery (P=0.001) using the Wilcoxon non-parametric test.
CONCLUSIONS: NTSCL constitute a significant proportion of overall SCL. Female population, paraplegia and incomplete cord lesions are more common among NTSCL in this study. Patients with NTSCL recover significantly both neurologically and functionally with rehabilitation intervention.
Authors:
A Gupta; A B Taly; A Srivastava; T Murali
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Publication Detail:
Type:  Journal Article     Date:  2008-10-21
Journal Detail:
Title:  Spinal cord     Volume:  47     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-02     Completed Date:  2009-05-26     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  307-11     Citation Subset:  IM    
Affiliation:
Department of Psychiatric and Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India. anupam@nimhans.kar.nic.in
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Outcome Assessment (Health Care)
Prospective Studies
Recovery of Function / physiology*
Rehabilitation Centers
Retrospective Studies
Severity of Illness Index
Spinal Cord Injuries* / complications,  epidemiology,  rehabilitation
Treatment Outcome*
Young Adult

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