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  4. A geriatric patient with spinal cord injury without radiographic abnormality: outcomes and causes

A geriatric patient with spinal cord injury without radiographic abnormality: outcomes and causes

Spinal Cord Series and Cases, 2018 · DOI: https://doi.org/10.1038/s41394-018-0050-2 · Published: February 5, 2018

Spinal Cord InjuryAgingNeurology

Simple Explanation

SCIWORA, or spinal cord injury without radiographic abnormality, is when someone has damage to their spinal cord, but it doesn't show up on regular X-rays or CT scans. This is a case of an 85-year-old man who had SCIWORA after a fall. He also had urinary incontinence. The doctors found that his other health problems, like diabetes and past cancer treatments, made his condition more complicated and affected his recovery.

Study Duration
Not specified
Participants
One 85-year-old male patient
Evidence Level
Case Report

Key Findings

  • 1
    Comorbidities in geriatric SCIWORA have severe effects on both etiology and prognosis.
  • 2
    Incontinence in SCIWORA is an essential condition that has not been addressed until now and may play a role in prognosis.
  • 3
    Failure to achieve full recovery and ambulation level was most likely due to the premorbid peripheral neurological deficits and comorbidities of the patient.

Research Summary

This case report discusses an 85-year-old male patient with SCIWORA and urinary incontinence who did not respond as expected to rehabilitation. The patient's history revealed previous urinary surgery and chemotherapy, which complicated his neurological condition. The study concludes that comorbidities in geriatric SCIWORA significantly impact etiology and prognosis, and incontinence is an important, previously unaddressed condition.

Practical Implications

Importance of Considering Comorbidities

Clinicians should carefully assess comorbidities in geriatric SCIWORA patients, as these significantly affect prognosis and treatment strategies.

Address Urinary Incontinence

Urinary incontinence in SCIWORA patients should be recognized and addressed as a potentially crucial factor in their overall prognosis.

Further Research Needed

Additional studies are necessary to better understand SCIWORA in the geriatric population, considering the differences in injury mechanisms and pre-existing conditions.

Study Limitations

  • 1
    Single case study limits generalizability.
  • 2
    Limited information on long-term outcomes.
  • 3
    Lack of a control group for comparison.

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