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  4. Central cord syndrome in Ireland: the effect of age on clinical outcome

Central cord syndrome in Ireland: the effect of age on clinical outcome

Eur Spine J, 2009 · DOI: 10.1007/s00586-009-1107-5 · Published: August 15, 2009

Spinal Cord InjuryTrauma

Simple Explanation

Central cord syndrome (CCS) is a type of spinal cord injury where the upper limbs are more affected than the lower limbs, often with sensory impairment and urinary retention. This study looks at how age affects the outcome of CCS, finding that older patients (70+) tend to have worse outcomes. Alcohol intoxication is a common factor in these injuries.

Study Duration
8 years
Participants
50 patients with acute traumatic central cord syndrome
Evidence Level
Not specified

Key Findings

  • 1
    Patients under 50 years of age showed the greatest absolute and relative improvements in motor and sensory scores.
  • 2
    At the final follow-up, 60% of patients aged 70 years or older had residual sphincter disturbance, while none of those under 70 did.
  • 3
    Complications were more common in the older age group, with a 100% major complication rate in patients 70 years of age or older.

Research Summary

This study examined 50 patients with acute traumatic central cord syndrome and found that age significantly affects clinical outcomes. Younger patients experienced greater improvements in motor and sensory function, while older patients had more complications and were more likely to have residual sphincter disturbance. Alcohol intoxication was a common factor in these injuries.

Practical Implications

Falls prevention

Implement falls prevention strategies, especially for the elderly, to reduce the incidence of central cord syndrome.

Age-specific treatment

Tailor treatment and rehabilitation plans based on the patient's age, considering the higher risk of complications and poorer outcomes in older individuals.

Alcohol awareness

Raise awareness about the role of alcohol in spinal cord injuries and promote responsible alcohol consumption.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Limited number of patients
  • 3
    Small sample size of geriatric patients

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