Article

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.
CI - Copyright (c) 2017 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS