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  4. Cervical stenosis in spinal cord injury and disorders

Cervical stenosis in spinal cord injury and disorders

The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1080/10790268.2015.1114229 · Published: July 1, 2016

Spinal Cord InjurySpinal Disorders

Simple Explanation

The study investigates the relationship between cervical stenosis/spondylosis (CSS) and spinal cord injury/disorders (SCI/D) in veterans. It aims to identify if CSS is more prevalent in individuals with SCI/D and to describe the clinical characteristics and comorbidities associated with these conditions. The researchers analyzed administrative data from Veterans who experienced traumatic or non-traumatic tetraplegia between 1999 and 2007. They compared a group diagnosed with CSS to a group without CSS to assess differences in demographics, SCI/D etiologies, and comorbidities. The findings suggest that CSS is common in patients with new traumatic tetraplegia, especially those whose injuries resulted from falls. Additionally, individuals with both SCI/D and CSS tend to have higher comorbidity scores, indicating a greater burden of other health conditions.

Study Duration
FY 1999–2007
Participants
1954 Veterans with onset of traumatic or non-traumatic tetraplegia
Evidence Level
Not specified

Key Findings

  • 1
    Veterans with SCI/D and CSS were older, more likely to be Black, and more likely to have incomplete injuries than those with SCI/D and no CSS.
  • 2
    Of patients with traumatic etiologies for SCI, 35.1% had a diagnosis of CSS at the time of or in the 2 years prior to SCI onset.
  • 3
    Falls were the most common cause of SCI/D in the study cohort, with 40.0% of those with tetraplegia due to falls having CSS.

Research Summary

This study examined the prevalence and characteristics of cervical stenosis/spondylosis (CSS) in Veterans with spinal cord injury/disorders (SCI/D). The researchers compared Veterans with and without CSS to identify differences in demographics, injury etiologies, and comorbidities. The results indicated that CSS is common in patients with traumatic tetraplegia, particularly those who sustained injuries from falls. Those with CSS and SCI/D were also more likely to be older, Black, and have incomplete injuries. The study highlights the importance of considering CSS as a risk factor for SCI/D, especially in older adults and individuals prone to falls. The findings also suggest that fall prevention strategies may be beneficial in reducing the risk of SCI/D in patients with CSS.

Practical Implications

Fall Prevention Strategies

Targeted fall prevention programs may be beneficial for individuals with cervical stenosis to reduce the risk of spinal cord injuries.

Increased Awareness

Healthcare providers should be aware of the increased risk of SCI/D in patients with CSS, especially in the context of traumatic injuries like falls.

Comorbidity Management

Given the higher comorbidity rates in individuals with SCI/D and CSS, comprehensive medical management addressing underlying health conditions is crucial.

Study Limitations

  • 1
    Limited to Veterans population, potentially limiting generalizability.
  • 2
    Diagnosis of CSS based on ICD-9 codes without confirmation.
  • 3
    Lack of detailed information on the specific circumstances surrounding falls.

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