Neurological prognosis after traumatic quadriplegia. Three-year experience of California Regional Spinal Cord Injury Care System.

作者: Frederick M. Maynard , Glenn G. Reynolds , Steven Fountain , Conal Wilmot , Richard Hamilton

DOI: 10.3171/JNS.1979.50.5.0611

关键词:

摘要: Between January, 1974, and December, 1976, 123 patients with traumatic quadriplegia were admitted to the California Regional Spinal Cord Injury Care System. The spinal cord injury resulted from gunshot wounds in five, a stab wound one, neck injuries no bone damage seen on x-ray studies 10, fracture dislocations of cervical spine 107. One-year following-up information was available 114 patients. Neurological impairment using Frankel classification system compared at 72 hours postinjury 1-year follow-up examination. Fifty 62 complete unchanged 1 year. Five these had developed motor useful function legs or became ambulatory by year, but all sustained serious head time their trauma making initial neurological assessment unreliable. Ten percent cases combined impairing consciousness. Among 103 cognitively intact patients, none walking Of sensory incomplete functions postinjury, 47% year; 87% surgery during first 4 weeks did not improve recovery. A method analyzing functional outcomes cork is presented order more accurately evaluate results future treatment protocols for acute injury.

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