Significance of SCIWORA in adults

Objective: Recognizing the importance of SCIWORA in adult age; analyze the usefulness of complementary studies; evaluating therapeutic options; learn about the evolution of the treated patients. Methods: A prospective evaluation with a minimum follow-up of 5 years, eight elderly patients with cervic...

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Autor principal: Bazán, Pedro Luis
Formato: Articulo
Lenguaje:Inglés
Publicado: 2015
Materias:
Ciencias Médicas
Spinal cord injury
Central cord syndrome
Cervical vertebrae
Traumatismos da medula espinal
Síndrome medular central
Vértebras cervicais
Traumatismos de la Médula Espinal
Síndrome del Cordón Central
Vértebras Cervicales
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/115224
Aporte de:
SEDICI (UNLP) de Universidad Nacional de La Plata
id I19-R120-10915-115224
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
Spinal cord injury
Central cord syndrome
Cervical vertebrae
Traumatismos da medula espinal
Síndrome medular central
Vértebras cervicais
Traumatismos de la Médula Espinal
Síndrome del Cordón Central
Vértebras Cervicales
spellingShingle Ciencias Médicas
Spinal cord injury
Central cord syndrome
Cervical vertebrae
Traumatismos da medula espinal
Síndrome medular central
Vértebras cervicais
Traumatismos de la Médula Espinal
Síndrome del Cordón Central
Vértebras Cervicales
Bazán, Pedro Luis
Significance of SCIWORA in adults
topic_facet Ciencias Médicas
Spinal cord injury
Central cord syndrome
Cervical vertebrae
Traumatismos da medula espinal
Síndrome medular central
Vértebras cervicais
Traumatismos de la Médula Espinal
Síndrome del Cordón Central
Vértebras Cervicales
description Objective: Recognizing the importance of SCIWORA in adult age; analyze the usefulness of complementary studies; evaluating therapeutic options; learn about the evolution of the treated patients. Methods: A prospective evaluation with a minimum follow-up of 5 years, eight elderly patients with cervical arthrosis and diagnosis of SCIWORA. The Japanese Orthopaedic Association (JOA) scale and ASIA were used on admission and at 6, 12, 24, 36, 48 and 60 months. Results: The central cord syndrome (CCS) was the neurological condition at admission. One patient recovered after corticosteroid therapy, but later, his disability worsened, and he was operated at 18 months, another patient recovered and a third died. The other patients underwent laminoplasty in the first 72 hours; patients with partial severity condition had a minimum improvement of five points in JAO scale and those with severe conditions died. Conclusions: The low-energy trauma can decompensate the relationship between container and content in the spine with asymptomatic arthrosis, and can be devastating to the patient. The diagnosis of intramedullary lesion is made by magnetic resonance imaging. Patients with incomplete deficit undergoing laminoplasty reached at least one level in ASIA score. The potential postoperative complications can be serious.
format Articulo
Articulo
author Bazán, Pedro Luis
author_facet Bazán, Pedro Luis
author_sort Bazán, Pedro Luis
title Significance of SCIWORA in adults
title_short Significance of SCIWORA in adults
title_full Significance of SCIWORA in adults
title_fullStr Significance of SCIWORA in adults
title_full_unstemmed Significance of SCIWORA in adults
title_sort significance of sciwora in adults
publishDate 2015
url http://sedici.unlp.edu.ar/handle/10915/115224
work_keys_str_mv AT bazanpedroluis significanceofsciworainadults
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bdutipo_str Repositorios
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