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Journal articles on the topic 'Wounds and injuries of spinal cord'

Author: Grafiati

Published: 4 June 2021

Last updated: 6 February 2022

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1

Waters, Robert L., and Ien H. Sie. "Spinal Cord Injuries From Gunshot Wounds to the Spine." Clinical Orthopaedics and Related Research 408 (March 2003): 120–25. http://dx.doi.org/10.1097/00003086-200303000-00014.

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Williams, David T., Danny L. Chang, and Matthieu P. DeClerck. "Penetrating spinal cord injuries with retained canal fragments." CJEM 11, no. 02 (2009): 172–73. http://dx.doi.org/10.1017/s1481803500011155.

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Case 1: A previously healthy 15-year-old boy was brought by paramedics to the emergency department (ED) after suffering multiple penetrating gunshot wounds (GSWs) to the lower extremities and a single entry to the left suprascapular region. Vital signs were within normal limits upon presentation. Case 2: A previously healthy 19-year-old man was brought by paramedics to the ED after suffering multiple stab wounds to the back. The patient was hypoxic and in severe respiratory distress upon arrival. A left thoracostomy tube was placed. Clinically the patient improved and vital signs returned to n

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Benzel, Edward C., Theresa A. Hadden, and James Edward Coleman. "Civilian Gunshot Wounds to the Spinal Cord and Cauda Equina." Neurosurgery 20, no. 2 (1987): 281–85. http://dx.doi.org/10.1227/00006123-198702000-00014.

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Abstract We evaluated 42 patients with neurological deficits after civilian gunshot wounds to the spine. Thirty-five of these patients (the study population presented here) received their initial and follow-up care at Louisiana State University Medical Center in Shreveport over a 4-year period. Each patient had incurred a single gunshot wound to the spinal cord or cauda equina with an accompanying neurological deficit. The patient population was divided into three groups. Group 1 patients had incurred a complete motor and sensory loss below the injury (20 patients (57%)). Group 2 patients had

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Zwimpfer, Thomas J., and Mark Bernstein. "Spinal cord concussion." Journal of Neurosurgery 72, no. 6 (1990): 894–900. http://dx.doi.org/10.3171/jns.1990.72.6.0894.

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✓ The hallmark of concussion injuries of the nervous system is the rapid and complete resolution of neurological deficits. Cerebral concussion has been well studied, both clinically and experimentally. In comparison, spinal cord concussion (SCC) is poorly understood. The clinical and radiological features of 19 SCC injuries in the general population are presented. Spinal cord injuries were classified as concussions if they met three criteria: 1) spinal trauma immediately preceded the onset of neurological deficits; 2) neurological deficits were consistent with spinal cord involvement at the le

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Eftekhary, Nima, Kenneth Nwosu, Eric McCoy, Dudley Fukunaga, and Kevin Rolfe. "Overutilization of bracing in the management of penetrating spinal cord injury from gunshot wounds." Journal of Neurosurgery: Spine 25, no. 1 (2016): 110–13. http://dx.doi.org/10.3171/2015.12.spine151022.

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OBJECTIVE Penetrating gunshot wounds (GSWs) to the spinal column are stable injuries and do not require spinal orthoses or bracing postinjury. Nonetheless, a high number of GSW-related spinal cord injury (SCI) patients are referred with a brace to national rehabilitation centers. Unnecessary bracing may encumber rehabilitation, create skin breakdown or pressure ulcers, and add excessive costs. The aim of this study was to confirm the stability of spinal column injuries from GSWs and quantify the overutilization rate of bracing based on long-term follow-up. METHODS This retrospective cohort stu

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Alaca, Ridvan, Bilge Yilmaz, Ahmet Salim Goktepe, Kamil Yazicioglu, and Sukru Gunduz. "Military Gunshot Wound-Induced Spinal Cord Injuries." Military Medicine 167, no. 11 (2002): 926–28. http://dx.doi.org/10.1093/milmed/167.11.926.

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7

Jacobsohn, Martin, Patrick Semple, Robert Dunn, and Sally Candy. "STAB INJURIES TO THE SPINAL CORD." Neurosurgery 61, no. 6 (2007): 1262–67. http://dx.doi.org/10.1227/01.neu.0000306105.76259.63.

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Abstract OBJECTIVE This study was undertaken to document changes on magnetic resonance imaging (MRI) scans after a stab to the spinal cord. The aim of the study was to determine if routine MRI scans for this type of injury would lead to a change in management. METHOD All patients with a stab wound to the spinal cord sustained between November 2004 and July 2005 were retrospectively enrolled. All of the patients were examined, a data form was completed, and MRI was performed within 72 hours on arrival at Groote Schuur Hospital. RESULTS Twenty-two patients were imaged during the study period. MR

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Corr, Peter, and Hoosen Lakhi. "MR imaging of penetrating spinal trauma." South African Journal of Radiology 7, no. 3 (2003): 25–29. http://dx.doi.org/10.4102/sajr.v7i3.1393.

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Objective: To determine the utility of MR imaging in the assessment of spinal cord injury following penetrating spinal trauma.Methods: We retrospectively reviewed the case notes and MR studies of patients referred to our MR facility over a 2-year period with neurological deficits following penetrating spinal injuries. All MR studies were performed on the same MR scanner with identical protocols. We reviewed the MR studies blinded to the clinical data and MR reports. We recorded the presence of: spinal cord transection, cord contusion, haematomyelia, extramedullary haematoma and vascula injury.

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Martinez-del-Campo, Eduardo, Leonardo Rangel-Castilla, Hector Soriano-Baron, and Nicholas Theodore. "Magnetic resonance imaging in lumbar gunshot wounds: an absolute contraindication?" Neurosurgical Focus 37, no. 1 (2014): E13. http://dx.doi.org/10.3171/2014.7.focus1496.

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Object Performance of MR imaging in patients with gunshot wounds at or near the lumbar spinal canal is controversial. The authors reviewed the literature on the use of MR imaging in gunshot wounds to the spine. They discuss the results from in vitro and clinical studies, analyze the physical properties of common projectiles, and evaluate the safety and indications for MR imaging when metallic fragments are located near the spinal canal. Methods A review of the English-language literature was performed. Data from 25 articles were analyzed, including 5 in vitro studies of the interaction between

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10

Martins Araújo, Bruno, Marcela Maria de Almeida Amorim, Sérgio Diego Passos Costa, et al. "Spinal cord trauma by air gun projectiles in five cats." Clínica Veterinária XXIII, no. 133 (2018): 64–84. http://dx.doi.org/10.46958/rcv.2018.xxiii.n.133.p.64-84.

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Spinal cord trauma induced by ballistic projectiles is considered uncommon in domestic animals, particularly in cats. Outdoor, and indoor-outdoor cats are at greater risk of receiving gunshot wounds. Despite their small size, moderate speed and poor aerodynamic design, projectiles from compressed air guns (pellet guns) can cause severe injury. Treatment and prognosis of animals presented with gun-related injuries can vary considerably, depending on the affected spinal segment location of the lesions, and extent of tissue damage. Due to the unusual occurrence, of this type of trauma in feline p

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Vissarionov, Sergey V., Timofey S. Rybinskikh, Marat S. Asadulaev, and Nikita O. Khusainov. "Modeling spinal cord injuries: advantages and disadvantages." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 8, no. 4 (2021): 485–94. http://dx.doi.org/10.17816/ptors34638.

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Background. Spinal cord injuries have diverse characteristics and associated traumatic changes; they are known as the most severe injuries of locomotorium. The creation of an optimal experimental model of spinal cord injuries using experimental animals, which would have similar changes in humans, is important to assess and analyze the pathological processes, as well as to develop complex treatment methods. Aim. This study aimed to analyze various experimental models of spinal cord injury using laboratory animals by assessing its advantages and disadvantages for further research and imple

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Vissarionov, Sergey V., Timofey S. Rybinskikh, Marat S. Asadulaev, and Nikita O. Khusainov. "Modeling spinal cord injuries: advantages and disadvantages." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 8, no. 4 (2021): 485–94. http://dx.doi.org/10.17816/ptors34638.

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Background. Spinal cord injuries have diverse characteristics and associated traumatic changes; they are known as the most severe injuries of locomotorium. The creation of an optimal experimental model of spinal cord injuries using experimental animals, which would have similar changes in humans, is important to assess and analyze the pathological processes, as well as to develop complex treatment methods. Aim. This study aimed to analyze various experimental models of spinal cord injury using laboratory animals by assessing its advantages and disadvantages for further research and imple

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Brembilla, Carlo, Luigi Andrea Lanterna, Paolo Gritti, et al. "Disabling Orthostatic Headache after Penetrating Stonemason Pencil Injury to the Sacral Region." Case Reports in Emergency Medicine 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/623405.

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Penetrating injuries to the spine, although less common than motor vehicle accidents and falls, are important causes of injury to the spinal cord. They are essentially of two varieties: gunshot or stab wounds. Gunshot injuries to the spine are more commonly described. Stab wounds are usually inflicted by knife or other sharp objects. Rarer objects causing incidental spinal injuries include glass fragments, wood pieces, chopsticks, nailguns, and injection needles. Just few cases of penetrating vertebral injuries caused by pencil are described. The current case concerns a 42-year-old man with an

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Carrillo, Eddy H., Janice K. Gonzalez, Lilian E. Carrillo, et al. "Spinal cord injuries in adolescents after gunshot wounds: an increasing phenomenon in urban North America." Injury 29, no. 7 (1998): 503–7. http://dx.doi.org/10.1016/s0020-1383(98)00110-7.

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Johnson-Kunjukutty, Swapna, and Carmel Delille. "Impact of chronic osteomyelitis on wound healing and the quality of life of the patient with a chronic wound." WCET Journal 39, no. 2 (2019): 34–40. http://dx.doi.org/10.33235/wcet.39.2.34-40.

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Spinal cord injury (SCI) patients have a higher risk of developing pressure injury secondary to limited mobility and lack of sensation. The James J Peters Medical Center is one of several regional spinal cord injury centres in the Veterans Affairs System. Veterans with SCI receive comprehensive care. Hospital- and community-acquired pressure injuries (HAPIs and CAPIs) can progressively advance to chronic stage IV pressure injury complicated with osteomyelitis. Chronic wounds that become infected can lead to sepsis if the wounds are not managed properly. The management of chronic wounds represe

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Lentscher, Jessica A., Joshua C. Combs, Karrie Walker, Christopher M. Young, and Rebecca Chason. "Postdeployment Fertility Challenges and Treatment in the Modern Era." Seminars in Reproductive Medicine 37, no. 05/06 (2019): 239–45. http://dx.doi.org/10.1055/s-0040-1713430.

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AbstractCurrent war-fighting environments have shifted dramatically over the past decade, and with this change, new types of injuries are afflicting American soldiers. Operative Enduring Freedom and Operation Iraqi Freedom have noted an increased use of sophisticated improvised explosive devices by adversaries. Injuries not frequently seen in previous conflict are dismounted complex blast injuries, which involve multiple proximal amputations, pelvic fractures, and extensive perineal wounds. Thus, an unforeseen consequence of the decreased mortality rate after these complex blast injuries is a

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Stupak, Vyacheslav Vladimirovich, and Elena Nikolayevna Rodyukova. "LOCAL LOW INTENSIVE LASER IRRADIATION FOR TREATMENT OF TROPHIC COMPLICATIONS IN PATIENTS WITH SPINAL CORD INJURIES." Hirurgiâ pozvonočnika, no. 2 (May 26, 2005): 034–40. http://dx.doi.org/10.14531/ss2005.2.34-40.

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Objective. The efficacy of low intensive laser irradiation in the treatment of decubitus and slowly granulating wounds is studied in comparison with conventional methods. Materials and Methods. Eighty two patients with trophic ulcers after spinal cord injury were conservatively treated by routine methods (35 patients) and by local laser irradiation (47 patients). The efficacy of local laser therapy was assessed basing on clinical course of healing of decubitus and slowly granulating wound, and daily epithelization rate and percentage in experimental and control groups. Results. The ulcer epith

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Lobzin, S. V., and L. M. Mirzaeva. "COMPLICATIONS OF ACUTE TRAUMATIC SPINAL INJURIES IN SAINT PETERSBURG." Marine Medicine 6, no. 1 (2020): 33–42. http://dx.doi.org/10.22328/2413-5747-2020-6-1-33-42.

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Almost every sailor during performing his job duties aboard receives injuries of varying severity, among which the most common are deck fractures, including compression vertebral fractures, as well as open and closed vertebral fractures with spinal cord injuries. Besides the recovery of disordered functions of the spinal cord, in cases of spinal cord injury, the fight against numerous neurological, infectious and somatic complications affecting the survival and quality of life of patients is still relevant.Objective: to study the incidence of complications of traumatic injuries of the spinal c

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Hanigan, William C., and Chris Sloffer. "Nelson's wound: treatment of spinal cord injury in 19th and early 20th century military conflicts." Neurosurgical Focus 16, no. 1 (2004): 1–13. http://dx.doi.org/10.3171/foc.2004.16.1.5.

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During the first half of the 19th century, warfare did not provide a background for a systematic analysis of spinal cord injury (SCI). Medical officers participating in the Peninsular and Crimean Wars emphasized the dismal prognosis of this injury, although authors of sketchy civil reports persuaded a few surgeons to operate on closed fractures. The American Medical and Surgical History of the War of the Rebellion was the first text to provide summary of results in 642 cases of gunshot wounds of the spine. The low incidence of this injury (0.26%) and the high mortality rate (55%) discouraged t

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Rathore, F. A., C. O'connell, and J. Li. "(A313) Role of Physiatrists in Post Disaster Scenarios - Lessons Learned from Pakistan, China and Haiti Earthquakes." Prehospital and Disaster Medicine 26, S1 (2011): s105. http://dx.doi.org/10.1017/s1049023x1100330x.

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IntroductionPhysical Medicine and Rehabilitation is a goal oriented and patient centered specialty which focuses on functional restoration and quality of life of persons with disability. The patterns of injuries among survivors of recent disasters have, range from mild (single limb fracture) to catastrophic (spinal cord injury, amputation, traumatic brain injury). Historically physiatrists have not participated the acute disaster management phase or in the emergent post disaster rehabilitation planning. This task is usually relegated to the trauma, orthopedic and general surgeons.MethodologyAu

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Richards, J. Scott, Samuel L. Stover, and Theresa Jaworski. "Effect of bullet removal on subsequent pain in persons with spinal cord injury secondary to gunshot wound." Journal of Neurosurgery 73, no. 3 (1990): 401–4. http://dx.doi.org/10.3171/jns.1990.73.3.0401.

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✓ The prevention or minimization of future pain is often cited as a reason for removal of the bullet from patients who have incurred a spinal cord injury secondary to a gunshot wound. In an attempt to examine this assumption, multimodal pain ratings were recorded for 14 patients with spinal cord injury due to a gunshot wound in whom the bullet was still present, 14 neurologically matched patients with spinal cord injury due to a gunshot wound in whom the bullet was removed, and 28 control patients with spinal cord injury unrelated to a gunshot wound who were neurologically matched to the first

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Bellucci, Carlos Henrique Suzuki, Jose Everton de Castro Filho, Cristiano Mendes Gomes, et al. "Contemporary Trends in the Epidemiology of Traumatic Spinal Cord Injury: Changes in Age and Etiology." Neuroepidemiology 44, no. 2 (2015): 85–90. http://dx.doi.org/10.1159/000371519.

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Background: Epidemiological features of spinal cord injury (SCI) have been changing over the last decades. We evaluated the contemporary trends in the epidemiology of traumatic SCI patients from a rehabilitation center. Methods: In a cross-sectional study, a consecutive series of 348 patients with traumatic SCI were evaluated. Variables were collected through an epidemiological form, which included gender, age at injury, duration and cause of SCI. We investigated SCI epidemiological trends over time including the association between gender and age at injury with SCI features such as etiology,

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Afshar, Ahmadreza, and Ali Tabrizi. "Razi and his Concepts on Bone and Joint Disorders." Archives of Iranian Medicine 23, no. 9 (2020): 624–28. http://dx.doi.org/10.34172/aim.2020.74.

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This brief review presents Razi’s concepts of bone and joint disorders. Razi differentiated between ligaments, tendons, and nerves and recognized the role of the brain, spinal cord, and peripheral nervous system in the perception of senses and voluntary movements. He described paralysis and loss of sensation following brain, spinal cord, and peripheral nervous system injuries. Razi presented an early concept of compartment syndrome. Razi’s approach to fracture management is very similar to the current concept of functional bracing for some fractures. Razi mentioned suturing the wounds and liga

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Kennedy, Dan W. "Using the Leisure Activities Blank with Spinal Cord-Injured Persons: A Field Study." Adapted Physical Activity Quarterly 2, no. 3 (1985): 182–88. http://dx.doi.org/10.1123/apaq.2.3.182.

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The purpose of this study was to examine the use of the Leisure Activities Blank (McKechnie, 1975) with males who had sustained spinal cord injuries. It was hypothesized that after treatment and time for adjustment, persons with spinal cord injuries would have higher scores on the Leisure Activities Blank (LAB) than they would within 3 months of hospitalization. Also, the male profile derived from persons with spinal cord injuries was compared with the normative male profile established by McKechnie (1975). The t-tests between means of pretest and posttest scores on the Future categories (male

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Raslan, Ahmed M., and Andrew N. Nemecek. "Controversies in the Surgical Management of Spinal Cord Injuries." Neurology Research International 2012 (2012): 1–6. http://dx.doi.org/10.1155/2012/417834.

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Traumatic spinal cord injury (SCI) affects over 200,000 people in the USA and is a major source of morbidity, mortality, and societal cost. Management of SCI includes several components. Acute management includes medical agents and surgical treatment that usually includes either all or a combination of reduction, decompression, and stabilization. Physical therapy and rehabilitation and late onset SCI problems also play a role. A review of the literature in regard to surgical management of SCI patients in the acute setting was undertaken. The controversy surrounding whether reduction is safe, o

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Beaty, Narlin, Justin Slavin, Cara Diaz, Kyle Zeleznick, David Ibrahimi, and Charles A. Sansur. "Cervical spine injury from gunshot wounds." Journal of Neurosurgery: Spine 21, no. 3 (2014): 442–49. http://dx.doi.org/10.3171/2014.5.spine13522.

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Object Gunshot wounds (GSWs) to the cervical spine have been examined in a limited number of case series, and operative management of this traumatic disease has been sparsely discussed. The current literature supports and the authors hypothesize that patients without neurological deficit need neither surgical fusion nor decompression. Patients with GSWs and neurological deficits, however, pose a greater management challenge. The authors have compiled the experience of the R Adams Cowley Shock Trauma Center in Baltimore, Maryland, over the past 12 years, creating the largest series of such inju

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Vall, Janaína, Carlos Mauricio de Castro Costa, Terezinha de Jesus Teixeira Santos, and Samuel Bovy de Castro Costa. "Neuropathic pain characteristics in patients from Curitiba (Brazil) with spinal cord injury." Arquivos de Neuro-Psiquiatria 69, no. 1 (2011): 64–68. http://dx.doi.org/10.1590/s0004-282x2011000100013.

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This was a descriptive cross-sectional study on patients with spinal cord injuries living in Curitiba, Paraná, Brazil. The aim was to evaluate the pain characteristics among such patients seen at referral care centers for spinal cord injury patients in Curitiba. A total of 109 adults with spinal cord injury in this city were evaluated regarding the presence of pain, especially neuropathic pain. Neuropathic pain was evaluated using the DN4 questionnaire, a universal instrument that has been translated and validated for Portuguese. A visual analog scale (VAS) was used to evaluate the intensity o

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El Hajj Abdallah, Yasmeen, Julie Beveridge, Ming Chan, et al. "Devastating neurologic injuries in the Syrian war." Neurology: Clinical Practice 9, no. 1 (2018): 9–15. http://dx.doi.org/10.1212/cpj.0000000000000556.

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BackgroundSince 2011, hundreds of thousands of Syrians have been displaced and injured due to the ongoing Syrian civil war. In this study, we report the prevalence of neurologic injuries in a major rehabilitation center on the Turkish–Syrian border where death and injury tolls continue to rise.MethodBased on several on-site visits from 2013 to 2016, medical practitioners collected data from patients in the major rehabilitation center on the border of Turkey and Syria. The clinical data, which included the type and cause of injury, laterality, paralysis, areas injured, and treatment offered, we

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Boswell, Boni B. "Exploring Quality of Life of Adults with Spinal Cord Injuries." Perceptual and Motor Skills 84, no. 3_suppl (1997): 1149–50. http://dx.doi.org/10.2466/pms.1997.84.3c.1149.

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Measurements of quality of life have been an important research focus in rehabilitation and medicine. Analyses indicated that for 12 persons with spinal cord injury significant quality of life domains identified through a ranking procedure were different from domains identified through small group discussions. If replicated with larger groups, we would advocate direct responses obtained through small group or individual discussions.

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Lehre, Martin Andreas, Lars Magnus Eriksen, Abenezer Tirsit, et al. "Outcome in patients undergoing surgery for spinal injury in an Ethiopian hospital." Journal of Neurosurgery: Spine 23, no. 6 (2015): 772–79. http://dx.doi.org/10.3171/2015.3.spine141282.

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OBJECT The objective of this study was to investigate epidemiology and outcome after surgical treatment for spinal injuries in Ethiopia. METHODS Medical records of patients who underwent surgery for spine injuries at Myungsung Christian Medical Center in Addis Ababa, Ethiopia, between January 2008 and September 2012 were reviewed retrospectively. Assessment of outcome and complications was determined from patient consultations and phone interviews. RESULTS A total of 146 patients were included (129 males, 17 females). Their mean age was 31.7 years (range 15–81 years). The leading cause of inju

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Dowdy, Justin, and T. Glenn Pait. "The influence of war on the development of neurosurgery." Journal of Neurosurgery 120, no. 1 (2014): 237–43. http://dx.doi.org/10.3171/2013.8.jns122369.

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The treatment of craniospinal war wounds proved to be a significant driving force in the early growth of neurosurgery as a specialty. This publication explores the historical relationship between the evolution of combat methodology from antiquity through modern conflicts as it dovetails with and drives corresponding advancements in the field of neurosurgery. Whether it's the basic management principles for intracranial projectile wounds derived from World War I experiences, the drastic improvement in the outcomes and management of spinal cord injuries observed in World War II, or the fact that

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Kim, Myeong Ok. "Prevention and treatment of pressure sore following spinal cord injury." Journal of the Korean Medical Association 63, no. 10 (2020): 623–32. http://dx.doi.org/10.5124/jkma.2020.63.10.623.

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Pressure sores or pressure injury is a serious complication of a spinal cord injury (SCI), representing a challenging problem for patients, their caregivers, and their physicians. Persons with SCI are vulnerable to pressure sores throughout their life. Pressure sores can potentially interfere with the physical, psychosocial, and overall quality of life. Outcomes directly depend on education and prevention along with conservative and surgical management. Therefore, it is very important to understand everything about pressure sores following SCI. This review covers epidemiology, cost, pathophysi

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Pizetta, Guilherme Rohden, Carlos Henrique Maçaneiro, Rodrigo Fetter Lauffer, Ricardo Kiyoshi Miyamoto, Ana Paula Bonilauri Ferreira, and Ricardo André Acácio dos Santos. "EPIDEMIOLOGICAL ANALYSIS OF SPINAL CORD INJURY IN THE CITY OF JOINVILLE (SC)." Coluna/Columna 19, no. 1 (2020): 48–51. http://dx.doi.org/10.1590/s1808-185120201901223272.

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ABSTRACT Objective This paper proposes a retrospective analysis of the spinal cord trauma at a regional hospital that is a Unified Health System (SUS) reference in Orthopedics and Traumatology, considering epidemiological data and comparing treatments and hospitalization costs. Methods This study is a retrospective, analytical-descriptive, exploratory documental analysis, using data from the medical records of patients treated for spinal cord trauma during 2016 at the São José Municipal Hospital (Joinville, SC). Results Twenty-three patients were included in the study, 20 of whom (87%) were ma

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Mackowsky, Matthew, Nicole Hadjiloucas, Stuart Campbell, and Constantine Bulauitan. "Penetrating spinal cord injury: A case report and literature review." Surgical Neurology International 10 (July 26, 2019): 146. http://dx.doi.org/10.25259/sni_221_2019.

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Background: Penetrating spinal cord injury (pSCI) is uncommon in civilian settings. However, there is a lack of consensus regarding perioperative management and thresholds for operative intervention. This review explores the various trends in the management of pSCI along with a literature review. Case Description: A 34-year-old male presented with a gunshot wound (GSW) to the left chest. Injuries included a pneumothorax, diaphragmatic injury, splenic injury, multiple small bowel injuries, transverse colon injury, and a bullet lodged at the L5 spinal level. The patient underwent chest tube plac

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Xia, Xinlei, Fan Zhang, Feizhou Lu, Jianyuan Jiang, Lixun Wang, and Xiaosheng Ma. "Stab Wound With Lodged Knife Tip Causing Spinal Cord and Vertebral Artery Injuries." Spine 37, no. 15 (2012): E931—E934. http://dx.doi.org/10.1097/brs.0b013e31824e477f.

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Miller, Joseph H., Holly A. Zywicke, James B. Fleming, et al. "Neurosurgical injuries resulting from the 2011 tornados in Alabama: the experience at the University of Alabama at Birmingham Medical Center." Journal of Neurosurgery 118, no. 6 (2013): 1356–62. http://dx.doi.org/10.3171/2013.3.jns121656.

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Object The April 27, 2011, tornados that affected the southeastern US resulted in 248 deaths in the state of Alabama. The University of Alabama at Birmingham (UAB) Medical Center, the largest Level I trauma center in the state, triaged and treated a large number of individuals who suffered traumatic injuries during these events, including those requiring neurosurgical assessment and treatment. Methods A retrospective review of all adult patients triaged at UAB Medical Center during the April 27, 2011, tornados was conducted. Those patients who were diagnosed with and treated for neurosurgical

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Rosin, Nicole R., Robyn S. Tabibi, John D. Trimbath, and Mary Kristina Henzel. "A Primary Care Provider’s Guide to Prevention and Management of Pressure Injury and Skin Breakdown in People With Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 3 (2020): 177–85. http://dx.doi.org/10.46292/sci2603-177.

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Skin breakdown, including burns and pressure injuries (PrIs), is a devastating complication of spinal cord injury (SCI). Chronic wounds place the person with SCI at high risk of infections, sepsis, and death. Skin health and breakdown is individual and multifactorial, thus prevention requires individualized education focused on patient preferences and goals. Assessment requires an accurate description of wound type/PrI stage, location, size, wound bed, wound margin, epithelialization, exudate, and peri-wound condition. PrIs should be staged using the National Pressure Injury Advisory Panel (NP

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M. Siregar, Budi Achmad, Pranajaya Dharma Kadar, and Aga Shahri Putera Ketaren. "Comparison of Post-Operative Clinical Outcome of Patients with PosteriorInstrumentation After Spinal Cord Injury in Thoracic, Thoracolumbar, and Lumbar Region at Haji Adam Malik General Hospital, Medan from 2016 to 2018." International Journal of PharmTech Research 13, no. 1 (2020): 20–25. http://dx.doi.org/10.20902/ijptr.2019.130103.

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Introduction : Spinal cord injury is a damaging situation related to severe disability and death after trauma.And the term spinal cord injury refers to damage of the spinal cord resulting from trauma. Spinal injuries treatment is still in debate for some cases, whether using conservative or surgical methods. Material and Methods : The study was a retrospective, unpaired observational analytic study with a crosssectional approach. It was conducted at Haji Adam Malik General Hospital, Medan from January 2016 to December 2018. Clinical outcome of patientswere calculated using SF 36, ODI, and VAS.

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Amann, Julia, Maddalena Fiordelli, Mirjam Brach, Sue Bertschy, Anke Scheel-Sailer, and Sara Rubinelli. "Co-designing a Self-Management App Prototype to Support People With Spinal Cord Injury in the Prevention of Pressure Injuries: Mixed Methods Study." JMIR mHealth and uHealth 8, no. 7 (2020): e18018. http://dx.doi.org/10.2196/18018.

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Background Spinal cord injury is a complex chronic health condition that requires individuals to actively self-manage. Therefore, an evidence-based, self-management app would be of value to support individuals with spinal cord injury in the prevention of pressure injuries. Objective The main objectives of this study were to (1) establish a co-design approach for developing a high-fidelity prototype app for the self-management of individuals with spinal cord injury, (2) design the prototype that resulted from this process, and (3) conduct the first usability assessment of the prototype app. Met

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Sheel, A. William, Andrei V. Krassioukov, J. Timothy Inglis, and Stacy L. Elliott. "Autonomic dysreflexia during sperm retrieval in spinal cord injury: influence of lesion level and sildenafil citrate." Journal of Applied Physiology 99, no. 1 (2005): 53–58. http://dx.doi.org/10.1152/japplphysiol.00154.2005.

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Autonomic dysreflexia (AD) can occur during penile vibratory stimulation in men with spinal cord injury, but this is variable, and the association with lesion level is unclear. The purpose of this study was to characterize the cardiovascular responses to penile vibratory stimulation in men with spinal cord injury. We hypothesized that those with cervical injuries would demonstrate a greater degree of AD compared with men with thoracic injuries. We also questioned whether the rise in blood pressure could be attenuated by sildenafil citrate. Participants were classified as having cervical ( n =

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Crowley, R. Webster, Ricky Medel, and Aaron S. Dumont. "Traumatic high flow vertebral-venous fistula presenting with delayed ischemic stroke: endovascular management with detachable coils and Amplatzer Vascular Plugs." Neurosurgical Focus 26, no. 3 (2009): E5. http://dx.doi.org/10.3171/2008.12.focus08274.

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Penetrating injuries to the neck can result in a number of abnormalities that are of interest to neurosurgeons and interventional neuroradiologists. Gunshot or stab wounds may cause damage to the cervical spinal cord, the adjacent osseous and ligamentous structures, and the peripheral or cranial nerves. In addition, a significant percentage of penetrating wounds to this location result in vascular injury. These may present insidiously or acutely and with a variety of symptoms. The authors present the case of a patient in whom an occipital lobe infarction developed roughly 2 months after the pa

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Lane, Cheryl A., Cynthia Selleck, Yuying Chen, and Ying Tang. "The Impact of Smoking and Smoking Cessation on Wound Healing in Spinal Cord–Injured Patients With Pressure Injuries." Journal of Wound, Ostomy and Continence Nursing 43, no. 5 (2016): 483–87. http://dx.doi.org/10.1097/won.0000000000000260.

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Ward, Jill, and Christopher Walker. "Caring for reproductive-aged women with spinal cord injuries: a case report." Obstetric Medicine 5, no. 3 (2012): 133–34. http://dx.doi.org/10.1258/om.2011.110065.

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In 2008 there were an estimated 259,000 people living in the USA with spinal cord injuries (SCI). The majority of these people are in their reproductive years, and over 19% are estimated to be women. Advances in medical management have allowed many women to live successfully with congenital defects or injuries resulting in SCI that even a few years ago would have been fatal. Although many of these women may be classified as ‘disabled’, fertility is not usually affected in SCI and many of these women desire children of their own. It is important to counsel these women regarding the range of iss

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Mercure-Cyr, R., and D. Fourney. "P.125 Back “pane” secondary to glass coffee table mishap: a very unusual penetrating injury to the thoracic dura without spinal cord injury." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 46, s1 (2019): S46. http://dx.doi.org/10.1017/cjn.2019.216.

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Background: Non-gunshot wound penetrating injury to the spinal canal have been known to have variable injury patterns with respect to trajectory and depth. Methods: We present a case of a penetrating glass fragment injury to the T11-12 level with a cerebrospinal fluid leak. Results: A T11-12 bilateral laminectomy and duraplasty with motor-evoked potential monitoring was performed to remove the foreign object and associated hematoma. The clinical presentation and surgical management are discussed with respect to other non-gunshot-related penetrating spine injuries in the literature. Conclusions

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Venger, Benjamin H., Richard K. Simpson, and Raj K. Narayan. "Neurosurgical intervention in penetrating spinal trauma with associated visceral injury." Journal of Neurosurgery 70, no. 4 (1989): 514–18. http://dx.doi.org/10.3171/jns.1989.70.4.0514.

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✓ Associated injuries to the neck, chest, or abdomen are found in approximately one-quarter of all civilians with penetrating spinal cord or cauda equina injuries. While the value of and indications for general surgical exploration and repair of these injuries are fairly self-evident, the value of neurosurgical intervention in terms of neurological outcome and infection prophylaxis remains the subject of debate. To study this issue, 160 civilian patients with penetrating spinal injuries and neurological deficits were retrospectively reviewed. Associated injuries of the esophagus, trachea, bron

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Ragucci, Mark, Michelle Gittler, Kristin Balfanz-Vertiz, and Tony Hunter. "INCIDENCE OF PREVIOUS VIOLENT INJURIES, CRIMINAL JUSTICE INVOLVEMENT, AND SOCIAL SERVICE INTERVENTION IN PATIENTS WITH SPINAL CORD INJURY SECONDARY TO GUNSHOT WOUNDS." American Journal of Physical Medicine & Rehabilitation 79, no. 2 (2000): 206–7. http://dx.doi.org/10.1097/00002060-200003000-00044.

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Pan, Baohan, Matthew R. Zahner, Ewa Kulikowicz, and Lawrence P. Schramm. "Effects of corticospinal tract stimulation on renal sympathetic nerve activity in rats with intact and chronically lesioned spinal cords." American Journal of Physiology-Regulatory, Integrative and Comparative Physiology 293, no. 1 (2007): R178—R184. http://dx.doi.org/10.1152/ajpregu.00044.2007.

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Sympathetic preganglionic neurons and interneurons are closely apposed (presumably synapsed upon) by corticospinal tract (CST) axons. Sprouting of the thoracic CST rostral to lumbar spinal cord injuries (SCI) substantially increases the incidence of these appositions. To test our hypothesis that these additional synapses would increase CST control of sympathetic activity after SCI, we measured the effects of electrical stimulation of the CST on renal sympathetic nerve activity (RSNA) and arterial pressure (AP) in α-chloralose-anesthetized rats with either chronically intact or chronically lesi

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Bracken, Michael B., and Theodore R. Holford. "Neurological and functional status 1 year after acute spinal cord injury: estimates of functional recovery in National Acute Spinal Cord Injury Study II from results modeled in National Acute Spinal Cord Injury Study III." Journal of Neurosurgery: Spine 96, no. 3 (2002): 259–66. http://dx.doi.org/10.3171/spi.2002.96.3.0259.

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Object. In the second National Acute Spinal Cord Injury Study (NASCIS II) investigators evaluated several standard neurological parameters but not functional activity. This has led to questions concerning the clinical importance of the increase in neurological recovery observed following administration of methylprednisolone (MP) within 8 hours of acute spinal cord injury (SCI). The safety of the therapy has also been questioned. Methods. Both neurological and functional recovery were assessed in NASCIS III, a trial that followed an almost identical protocol to NASCIS II. In the current analysi

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Lee, K. Stuart, Philip J. Boyer, Patrick C. Hsieh, et al. "347 Histopathology of Necrotic Spinal Cord Tissue Exudate Collected During Surgical Implantation of a Biodegradable Scaffold Following Acute Spinal Cord Injury: Pre-clinical and Clinical Findings." Neurosurgery 64, CN_suppl_1 (2017): 278–79. http://dx.doi.org/10.1093/neuros/nyx417.347.

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Abstract INTRODUCTION Acute implantation of biodegradable scaffolds following spinal cord injury (SCI) has been shown pre-clinically to reduce chronic cavitation, increase white matter sparing, and increase the deposition of neuropermissive remodeled tissue. The surgical procedure of scaffold implantation allows for the gentle removal of acutely necrotic tissue resulting in a cavity in which the scaffold is placed. Here we report for the first time on the histopathological findings in both animal and human tissue specimens. METHODS Pre-clinically, experimental spinal cord contusion injuries we

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Phang, Isaac, Argyro Zoumprouli, Samira Saadoun, and Marios C. Papadopoulos. "Safety profile and probe placement accuracy of intraspinal pressure monitoring for traumatic spinal cord injury: Injured Spinal Cord Pressure Evaluation study." Journal of Neurosurgery: Spine 25, no. 3 (2016): 398–405. http://dx.doi.org/10.3171/2016.1.spine151317.

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OBJECTIVE A novel technique for monitoring intraspinal pressure and spinal cord perfusion pressure in patients with traumatic spinal cord injury was recently described. This is analogous to monitoring intracranial pressure and cerebral perfusion pressure in patients with traumatic brain injury. Because intraspinal pressure monitoring is a new technique, its safety profile and impact on early patient care and long-term outcome after traumatic spinal cord injury are unknown. The object of this study is to review all patients who had intraspinal pressure monitoring to date at the authors' institu

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