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Spinal Cord Series and Cases

Nishit Bhatnagar, Ankit Kataria, Purushotham Lingaiah, Yugal Karkhur
Introduction: The commonly recognized causes of post-operative neurological deterioration in spinal tuberculosis are inadequate decompression, damage to vascular supply of the spinal cord, and multi-drug resistant organisms. There are no known cases of syringomyelia developing after surgical decompression of spinal tuberculosis. Case presentation: A teenage girl presented with rapid onset quadriparesis secondary to a tubercular epidural abscess extending from C4-T8...
2019: Spinal Cord Series and Cases
Augustine Abiodun Adeolu, Alvan-Emeka Kelechi Ukachukwu, Josephine Oluwayemisi Adeolu, Amos Olufemi Adeleye, Godwin Inalegwu Ogbole, Adefolarin Obanishola Malomo, Matthew Temitayo Shokunbi
Study design: A prospective observational study. Objectives: To evaluate the effectiveness of closed reduction of cervical spine injuries (CSIs) using cervical traction and identify probable complications. Setting: Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria. Methods: Consecutive CSIs managed by closed reduction using Gardener-Well's Tongs traction were prospectively analysed. The data included imaging and neurological examinations findings, Frankel grading, and extent of reduction...
2019: Spinal Cord Series and Cases
Steven D Jackson, Bethany A Wiering, Amanda A Herrmann, MacKenna A Hinz, Leah R Hanson
Introduction: Low back pain is a leading disability worldwide; however, it is not often the result of a serious underlying condition such as a tumor. As a result, diagnosis of a serious underlying cause of low back pain may be delayed, such as in this case. Case presentation: We describe a case of a man presenting with low back pain, who was eventually diagnosed with solitary bone plasmacytoma (SBP) causing spinal cord compression from approximately T7-T9. The patient was classified as T8 ASIA C-Incomplete Paraplegia...
2019: Spinal Cord Series and Cases
Roop Singh, Jitendra Wadhwani, Rajesh Kumar Rohilla, Kiranpreet Kaur
Introduction: Trochanteric pressure ulcers (PrUs) are difficult to treat and are often complicated by infection spreading to the hip joint. We review three cases from India where proximal femoral resection and pedicled Tensor Fascia Lata (TFL) flapping was used in the management of infected deep trochanteric ulcers communicating to the hip joint. Case presentation: Three patients had a total of four trochanteric PrUs communicating to the hip joint. Proximal femoral resection along with radical debridement of the pressure ulcer (PrU) was the first step in our surgical protocol...
2019: Spinal Cord Series and Cases
Michael Stillman, Daniel Graves, Peter W New, Thomas Bryce, Marcalee Alexander
Study design: An online questionnaire. Objectives: To assess the international spinal cord medicine and rehabilitation community's utilization of pharmacological and non-pharmacological treatments for spinal cord damage (SCD)-related pain and to determine whether approaches to SCD-related pain differ between developed and less developed nations. Setting: An international collaboration of authors. Methods: An on-line survey querying availability and utilization of a number of approaches to SCD-related pain was developed, distributed, and made available for 6 months...
2019: Spinal Cord Series and Cases
Peter Wayne New
[This corrects the article DOI: 10.1038/s41394-018-0094-3.].
2019: Spinal Cord Series and Cases
Agnes Witt, Hatice Kumru, Eloy Opisso, Joan Vidal
[This corrects the article DOI: 10.1038/s41394-018-0142-z.].
2019: Spinal Cord Series and Cases
Kevin Rolfe, Aaron Beck, Tracy Kovach, Brian Mayeda, Charles Liu
Study Design: This is a retrospective review. Objectives: To validate the concept of "non-locality" to explain cases of Spinal Cord Injury Without Radiographic Abnormality (SCIWORA) previously deemed inexplicable. To investigate and challenge the source data for the SCIWORA hypothesis which has the built-in assumption that a traumatic spinal cord injury (SCI) can only be caused by a local or adjacent spinal column injury and which, therefore, postulates that the pediatric spinal column is inherently more flexible than the spinal cord to explain SCI whenever a local spinal column injury is not detected...
2019: Spinal Cord Series and Cases
Nor Hanim Mohamad Hanapi, Ehsan Syukri Zainin, Mohd Harith Abdul Aziz, Daryani Darus
Introduction: Managing neglected spinal cord injury (SCI) patients in a rural setting can be challenging due to a lack of resources and the unique personal and environmental contextual factors that may hinder rehabilitation. This article aims to identify the contextual factors and their impact on successful rehabilitation. Case presentation: A middle-aged man from a rural area had suffered a neglected traumatic SCI and was first seen by the rehabilitation team 17 years post injury...
2019: Spinal Cord Series and Cases
Éimear Smith, Patricia Fitzpatrick, Frank Lyons, Seamus Morris, Keith Synnott
Study design: Prospective population-based epidemiological study on traumatic spinal cord injury in Ireland. Objectives: To provide updated data for the global TSCI repository. Setting: Republic of Ireland. Methods: All cases of TSCI acquired during 2016 were included. ISCoS core dataset was collected on all cases. Descriptive statistics are reported. Results: Overall crude incidence of TSCI was 12...
2019: Spinal Cord Series and Cases
Jason Bitterman, Jayne Donovan, Mylan Lam
Introduction: Spinal cord tumors are a rare cause of spinal cord disorder (SCD). Early diagnosis can be challenging, especially in patient populations with other potential etiologies for back pain, such as pregnant women. Case presentation: A 28-year-old female presented at 8 weeks gestation with thoracic back pain initially diagnosed as gestational low back pain. Her symptoms progressed to lower extremity weakness. After diagnosis and resection of a spinal cord ependymoma, we collaborated with the inpatient interdisciplinary team to devise a rehabilitation program focused on minimizing pregnancy-related complications and optimizing care of a newborn in the setting of a new paraplegia...
2019: Spinal Cord Series and Cases
Sergiu Albu, Guilherme Umemura, Arturo Forner-Cordero
Study design: Cross-sectional study. Background: Sleep disturbances are frequently reported by individuals with spinal cord injury (SCI) and are associated both with poor quality of life and reduced ability to participate in rehabilitation and daily life activities. Objectives: This study investigated sleep quality based on self-reports and actigraphy in individuals with SCI as compared to able-bodied. We also explored the relationship between sleep quality, physical activity, and neuropathic pain...
2019: Spinal Cord Series and Cases
Michael Stillman, Michael Mallow, Tracy Ransom, Kristin Gustafson, Alison Bell, Daniel Graves
Study design: An observational study based on an online survey addressing attitudes toward and knowledge of cannabis among people living with spinal cord injury (SCI). Objectives: To characterize attitudes toward and knowledge of cannabis among a nationwide sample ( n  = 353) of people with SCI. To determine if knowledge and attitudes are influenced by socio-demographic and injury-specific factors. Setting: Three academic medical centers in the US...
2019: Spinal Cord Series and Cases
Andresa R Marinho-Buzelli, Hossein Rouhani, Beverley Catharine Craven, Kei Masani, José Angelo Barela, Milos R Popovic, Mary C Verrier
Study design: This work is a case series. Objectives: We assessed the influence of the aquatic environment on quasi-static posture by measuring center of pressure (COP) sway and trunk acceleration parameters after incomplete spinal cord injury (iSCI) in water and on land. Setting: Tertiary Rehabilitation Hospital, Ontario, Canada. Methods: Six adult participants with iSCI (4 cervical/2 thoracic injuries, AIS D) were enrolled...
2019: Spinal Cord Series and Cases
Hepzibha Alexander, Ehsan Dowlati, Jason E McGowan, Robert B Mason, Amjad Anaizi
Introduction: Spinal cord injury is one of the leading causes of paralysis and permanent morbidity. High cervical spine injuries, in particular, have the potential to be fatal and debilitating due to injury to multiple components, including but not limited to, discoligamentous disruption, vascular insult and spinal cord injury. To date, no unifying algorithm exists making it challenging to guide treatment decisions. Case presentation: We present the case of a 29-year-old polytrauma patient with an unstable C2-C3 fracture subluxation secondary to hyperextension and rotation injury with complete ligamentous dissociation and vertebral artery dissection after a high-velocity injury...
2019: Spinal Cord Series and Cases
Christina Kokorelis, Marlis Gonzalez-Fernandez, Marjorie Morgan, Cristina Sadowsky
Study Design: This study is a retrospective review examining the prevalence of drugs commonly used in the management of spinal cord injury (SCI) which may influence bone health. Objective: The aim of our study was to examine the role commonly prescribed medications play in post-SCI bone health. Setting: We included all males 21 years of age and older who were evaluated over a 10-year period at an SCI-specialized center for a trauma-induced SCI...
2019: Spinal Cord Series and Cases
Todd A Astorino
Study design: Repeated measures within-subjects crossover study. Objectives: High intensity interval exercise (HIIE) elicits higher oxygen consumption (VO2 ) and heart rate (HR) versus moderate intensity continuous exercise (MICE) in men with spinal cord injury (SCI). No study has compared hemodynamic responses to HIIE versus MICE in SCI. In this study, we determined hemodynamic and cardiorespiratory responses to different bouts of arm cycling in men with SCI. Setting: Human Performance Laboratory, San Diego, CA...
2019: Spinal Cord Series and Cases
Karin Roth, Gabi Mueller, Adrian Wyss
Study design: Qualitative study. Objectives: The aim of this study was to evaluate peer counselling during inpatient rehabilitation of patients with spinal cord injuries (SCI). This article describes the experience with peer counselling from the perspective of patients with SCI as well as from the perspective of the peer counsellors. Setting: Inpatient rehabilitation of SCI in the Swiss Paraplegic Centre. Methods: Six interviews with patients and one focus group interview with professional peer counsellors have been evaluated using qualitative content analysis...
2019: Spinal Cord Series and Cases
Tinnakorn Pluemvitayaporn, Sombat Kunakornsawat, Chaiwat Piyaskulkaew, Pritsanai Pruttikul, Warongporn Pongpinyopap
Introduction: Os odontoideum is a rare cervical lesion. This unusual condition is sometimes associated with atlantoaxial subluxation, which is mostly anterior subluxation. Posterior atlantoaxial subluxation due to os odontoideum is extremely rare. Case presentation: We report an unusual case of a 60-year-old Thai female, who was diagnosed as having chronic posterior atlantoaxial subluxation associated with os odontoideum with progressive myelopathy. The patient underwent posterior arch of C1 laminectomy and an occipito-C3 fusion using an occipital plate, C2 pedicle screws, C3 lateral mass screws and autologous iliac crest strut bone graft arthrodesis...
2018: Spinal Cord Series and Cases
Sergey V Vissarionov, Nikolay A Krutelev, Victor P Snischuk, Monzurul Alam, Artem P Kravchenko, Yong-Ping Zheng, Nikita O Khusainov
Study design: Cohort study. Objectives: The objectives of this study were examination, observation and surgical interventions of pediatric patients with diastematomyelia, a rare congenital deformity of the spinal cord. Setting: Spine surgery and neurosurgery clinic under ministry of health, the Russian Federation. Methods: Twenty children (1-18 years of age) with diastematomyelia participated in this study. Diagnosis was based on subjects' medical history, results of clinical examination, spine radiography in anteroposterior and lateral views, and neurophysiological examinations...
2018: Spinal Cord Series and Cases
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