Fractures and musculoskeletal ailments in persons 20+ years after a traumatic spinal cord injury in Norway

Spinal Cord Series and Cases, 2018 · DOI: https://doi.org/10.1038/s41394-018-0102-7 · Published: June 17, 2018

Spinal Cord Injury Musculoskeletal Medicine

Simple Explanation

This study investigates the long-term effects of spinal cord injuries (SCI) on bone health and musculoskeletal issues in Norwegians. Researchers interviewed 165 individuals with SCI more than 20 years post-injury, examining fracture rates and musculoskeletal ailments. The findings suggest that fractures and shoulder ailments are common long-term complications after SCI, highlighting the need for prevention and management strategies.

Study Duration

Not specified

Participants

165 persons with SCI

Evidence Level

Cross-sectional study

Key Findings

1
Around half of the participants experienced a fracture after injury, highlighting a significant long-term risk.
2
Excessive alcohol use increased the odds of post-injury fractures, suggesting a modifiable risk factor.
3
The use of orthosis to the knee and hip increased the odds of experiencing shoulder ailments, pointing to potential biomechanical strain.

Research Summary

This cross-sectional study aimed to understand the prevalence of fractures and musculoskeletal ailments in Norwegians with SCI more than 20 years post-injury. The study found high rates of fractures and shoulder ailments, with excessive alcohol use and orthosis use being significant risk factors. The authors conclude that prevention and symptom management should be integrated into follow-up care for individuals with chronic SCI.

Practical Implications

Prevention Strategies

Implement targeted interventions to reduce alcohol consumption among individuals with SCI to mitigate fracture risk.

Symptom Management

Incorporate regular screenings for musculoskeletal ailments, particularly shoulder pain, in long-term SCI follow-up care.

Assistive Device Assessment

Evaluate the biomechanical impact of orthoses on upper extremity joint loading to minimize the risk of shoulder ailments.

Study Limitations

1
Difficulty in categorizing fractures into specific types (traumatic, spontaneous, fragile).
2
Potential overlap in reporting of muscular overuse symptoms and specific ailments.
3
Retrospective data collection introducing risk of recall bias.

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