The Prognostic Factors of Neurologic Recovery in Spinal Cord Injury (척수 손상 후 신경학적 회복의 예후 인자)

서종호; 김효종; 이규열; Wang Lih (왕립); Jin-Woo Park (박진우)

The Prognostic Factors of Neurologic Recovery in Spinal Cord Injury

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2015, 22(1), pp.1-7
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

서종호 ¹, 김효종 ¹, 이규열 ¹, Wang Lih ¹, Jin-Woo Park ¹

¹동아대학교

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: To evaluate and compare the factors affecting recovery of spinal cord injury following cervical and thoracolumbar spine injuries. Summary of the Literature Review: Several authors have reported the factors to predict the prognosis of spinal cord injury, but the objective prognostic factors are still controversial. Materials and Methods: From June 2006 to March 2013, a total of 44 patients with spinal cord injury were evaluated. Prognostic factors analyzed were sex, age, neurologic status, fracture type, time to operation, use of steroid, and signal change on MRI. We analyzed the relation between each factor and the neurologic recovery. The mean follow-up period was 12 months. The neurologic recovery was analyzed by the ASIA impairment scale at the first and the last neurologic examination. Results: Among 44 patients, 15 sustained complete cord injury while 29 had incomplete cord injury. Significant neurologic recovery using the ASIA impairment scale was evaluated in the incomplete spinal cord injury group. Among this group, the prognosis for Brown-sequard syndrome is better than for central cord syndrome and anterior cord syndrome. There was no significant difference in other factors (fracture site, time to operation, use of steroid or signal change on MRI). Conclusions: The prognosis in spinal cord injury is determined by the initial neurologic damage and neurologic recovery is not related with the fracture type, time to operation, use of steroid and signal change on MRI.

KEYWORDS

Spinal cord injury, Prognostic factor, ASIA impairment scale

Citation status

* References for papers published after 2023 are currently being built.

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