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  4. Influential factors of the prognosis of patients with winter sports-induced traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgical treatment

Influential factors of the prognosis of patients with winter sports-induced traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema after emergency surgical treatment

Pak J Med Sci, 2024 · DOI: https://doi.org/10.12669/pjms.40.4.7644 · Published: March 1, 2024

Spinal Cord InjuryTraumaOrthopedics

Simple Explanation

This study investigates factors influencing the recovery of patients who suffer traumatic cervical spinal cord injuries during winter sports, specifically when the injury is complicated by bleeding and swelling within the spinal cord. The research looks at the impact of diabetes, the degree of spinal cord compression before surgery, and the rate of motor function recovery shortly after surgery on patient outcomes. The goal is to improve treatment and predict recovery for these patients, especially considering the rise in winter sports-related injuries.

Study Duration
January 2020 to October 2022
Participants
73 cases of traumatic cervical spinal cord injury
Evidence Level
Level 3: Retrospective analysis

Key Findings

  • 1
    Emergency surgery can improve neurological function in patients with cervical spinal cord injury complicated by intramedullary hemorrhage and edema caused by winter sports.
  • 2
    Concomitant diabetes, preoperative MSCC>40.83% and recovery rate of AMS <40.13% 3d after operation were independent risk factors affecting the poor prognosis of patients.
  • 3
    56 cases showed significant improvement in ASIA Grade-6 months after operation, with an improvement rate of 76.71%.

Research Summary

This retrospective study analyzed 73 cases of traumatic cervical spinal cord injury complicated with intramedullary hemorrhage and edema resulting from winter sports. The study identified concomitant diabetes, preoperative intramedullary spinal cord compression (MSCC), and the recovery rate of the American Spinal Injury Association (ASIA) motor score (AMS) three days post-operation as independent risk factors for poor prognosis. The authors conclude that emergency surgery can improve neurological function in these patients, but the identified risk factors should be considered in prognosis and treatment planning.

Practical Implications

Improved Surgical Outcomes

Emergency surgery is beneficial for patients with traumatic cervical spinal cord injuries from winter sports.

Risk Factor Management

Managing diabetes and monitoring MSCC and AMS recovery can improve patient prognosis.

Predictive Prognosis

The identified risk factors can help in predicting patient recovery and tailoring treatment plans.

Study Limitations

  • 1
    Small sample size
  • 2
    Absence of analysis of the impact of different emergency surgical methods
  • 3
    Absence of analysis of severity of the disease on the prognosis of patients

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