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  4. Review of the History of ­Non-traumatic Spinal Cord Dysfunction

Review of the History of ­Non-traumatic Spinal Cord Dysfunction

Top Spinal Cord Inj Rehabil, 2017 · DOI: 10.1310/sci2304-285 · Published: January 1, 2017

Spinal Cord InjuryHealthcareNeurology

Simple Explanation

Non-traumatic spinal cord dysfunction (SCDys) is more common than traumatic spinal cord injury (SCI) in many countries. This review aims to identify key events in the history of SCDys, covering increasing awareness of the spinal cord's role and neuroanatomy knowledge. Understanding the history of SCDys helps appreciate the work of physicians and surgeons who contributed to the field. It also puts current knowledge in a broader context, showing how neurology, neurosurgery, and spinal cord medicine have advanced. By studying SCDys history, we understand the contribution of new advances, appreciate the critical role of research, and explain the challenges research poses.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Spina bifida has existed since the dawn of man, with archeological findings supporting this.
  • 2
    Hippocrates was the first to describe SCDys resulting from paralysis due to infection of the spinal cord, possibly caused by tuberculosis.
  • 3
    Key advances in understanding the blood supply of the spinal cord by Duret, Adamkiewicz, and Kadyi were pivotal in understanding the neuroanatomical basis for infarction and vascular malformations.

Research Summary

This review outlines the history of non-traumatic SCDys, providing a broad historical perspective and covering the increasing awareness of the role of the spinal cord and the knowledge of neuroanatomy. Key milestones in the diagnosis and management of common SCDys conditions, including congenital, genetic, degenerative, tumor, vascular, infectious, and inflammatory causes, have been presented. An appreciation of the history of SCDys increases our understanding of the many contributors to our current knowledge and can guide efforts regarding SCDys prevention.

Practical Implications

Enhanced Understanding

Appreciating the history of SCDys enhances the understanding of the contributions made by numerous individuals to our current knowledge.

Guides Prevention Efforts

The history of SCDys helps guide efforts in preventing these conditions.

Informs Research

Understanding how we came to know what we know informs us about why research is critical and the challenges involved.

Study Limitations

  • 1
    The literature search was limited to publications in English, potentially missing relevant information in other languages.
  • 2
    Many older references were difficult to locate and review due to age and language barriers.
  • 3
    The review focuses on the most common causes of SCDys, potentially overlooking rare conditions.

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