Abstract
A prospective multicenter study was conducted within the National Model Spinal Cord Injury System program to examine neurological deficits and recovery patterns following spinal cord injury (SCI) in individuals with cervical spondylosis and without a spinal fracture. Nineteen patients were evaluated. Sixty-eight percent presented intially with motor incomplete lesions. Of those who presented with motor incomplete injuries at their initial examination, 69 percent had less deficit in the lower than in the upper extremities, indicative of a central cord syndrome. At follow-up, 12 subjects were unable to ambulate, four required assistance and three were able to ambulate independently. On the average, subjects doubled their initial Asia Motor Score (AMS) scores by one year following injury. Residual upper extremity weakness, however, limited the ability to ambulate. Recovery of motor strength in this group is comparable to that of individuals with incomplete tetraplegia in general but the proportion who regain ambulatory function is less.
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Go B K, DeVivo M J, Richards J S . The epidemiology of spinal cord injury. In Stover S, DeLisa J, Whiteneck G, eds Spinal Cord Injury. Clinical Outcomes from the Model Systems Maryland: Aspen Publishers 1995: pp 21–55.
American Spinal Injury Association (ASIA): Standards for Neurological Classification of Spinal Injury Patients. Atlanta, Georgia, 1990.
Waters RL, Adkins R H, Yakura J S . Definition of complete spinal cord injury. Paraplegia 1991; 29: 573–581.
Bracken M B et al. A randomized, controlled trial of methylprednisolone or nalaxone in the treatment of acute spinal cord injury. Results of the Second National Acute Spinal Cord Injury Study. N Engl J Med 1990; 322: 1405–1411.
Johnston R A . Management of old people with neck trauma. Br Med J 1989; 299: 633–634.
Crawford P M, Shepherd D I . Hyperextension injuries to the cervical cord in the elderly. Br Med J 1989; 299: 669–670.
Weingarden S I, Graham P M . Falls resulting in spinal cord injury: patterns and outcomes in an older population. Paraplegia 1989;27:423–427.
Kiwerski J E . Injuries to the spinal cord in elderly patients. Injury 1992; 23(6): 397–400.
Spivak J M, Weiss M A, Cotler J M, Call M . Cervical spine 10. Injuries in patients 65 and older. Spine 1994; 19: 2302–2306.
DeVivo M J et al. The influence of age at time of spinal cord injury on rehabilitation outcome. Arch Neurol 1990; 47: 687–691.
Yarkony G M, Roth E L, Heinemann A W, Lovell L L . Spinal cord injury rehabilitation outcome: The impact of age. J Clin Epidemiol 1988; 41: 173–177.
Foo D Spinal cord injury in forty-four patients with cervical spondylosis. Paraplegia 1986; 24: 301–306.
Waters R L, Adkins R H, Yakura J S, Sie I Motor and sensory recovery following complete tetraplegia. Arch Phys Med Rehabil 1993; 74: 242–247.
Waters R L, Adkins R H, Yakura J S, Sie I Motor and sensory recovery following incomplete tetraplegia. Arch Phys Med Rehabil 1994; 75: 306–311.
Bohlman H H, Ducker T B, Lucas J T . Spine and spinal cord injuries. In: Rothman RH ed. The Spine Philadelphia: WB Saunders, 1982: pp 661–756.
Schneider R C, Schemm G W . Vertebral insufficiency in acute and chronic spinal trauma. J Neurosurg 1961; 18: 348–360.
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Waters, R., Adkins, R., Sie, I. et al. Motor recovery following spinal cord injury associated with cervical spondylosis: a collaborative study. Spinal Cord 34, 711–715 (1996). https://doi.org/10.1038/sc.1996.129
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DOI: https://doi.org/10.1038/sc.1996.129
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