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  4. Evolution of traumatic spinal cord injury in patients with ankylosing spondylitis, in a Romanian rehabilitation clinic

Evolution of traumatic spinal cord injury in patients with ankylosing spondylitis, in a Romanian rehabilitation clinic

Spinal Cord Series and Cases, 2016 · DOI: 10.1038/scsandc.2016.1 · Published: July 7, 2016

Spinal Cord InjuryRheumatologyRehabilitation

Simple Explanation

Ankylosing spondylitis (AS) is a chronic rheumatic disease that makes patients more likely to experience vertebral fractures and spinal cord injury, even from minor trauma. This study looked back at the records of 11 male patients with both AS and spinal cord injury who were treated in a Romanian rehabilitation clinic between 2010 and 2014. The study found that many of these injuries were caused by low-energy traumas and that infections were a common complication during their hospital stay.

Study Duration
4 years
Participants
11 males with ankylosing spondylitis and spinal cord injury
Evidence Level
Retrospective descriptive survey

Key Findings

  • 1
    Low-energy trauma was incriminated in 54.5% cases.
  • 2
    Five patients (45.5%) improved of at least grade 1 (AIS).
  • 3
    The overall complications were mainly infections: symptomatic urinary tract infections (seven patients; 63.6%), pulmonary (three subjects; 27.3%) and spondylodiscitis (one case; 9%).

Research Summary

This study is a retrospective descriptive survey of post-acute, traumatic AS-SCI patients, transferred from the neurosurgical department and admitted in a Romanian Neurorehabilitation Clinic, during 2010–2014. There were 11 males associating AS-SCI (0.90% of all consecutive SCI admitted cases), with an average age of 54.6 years (median 56, limits 42–73 years). By the time of discharge, neither patient has neurologically deteriorated; five patients (45.5%) improved of at least grade 1 (AIS).

Practical Implications

Prevention Strategies

The clinical profiles observed can inform future prevention strategies for AS-SCI patients.

Therapeutic Management

The different complications acquired during admission can lead to better therapeutic management.

Prophylactic Measures

Implement prophylactic strategies and educational measures for patients, families, and healthcare professionals to minimize risks of accidental falls.

Study Limitations

  • 1
    Small sample size of 11 patients
  • 2
    Retrospective study design
  • 3
    Single-center study in a Romanian rehabilitation clinic

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