How much time is necessary to confirm the diagnosis of permanent complete cervical spinal cord injury?
How much time is necessary to confirm the diagnosis of permanent complete cervical spinal cord injury?
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需要多长时间才能确诊永久性完全性颈脊髓损伤？
DOI：
10.1038/s41393-019-0366-1
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发表时间：
2020
期刊：
影响因子：
2.2
通讯作者：
Kaneyama Hironari
中科院分区：
文献类型：
--
作者：
Kawano Osamu;Maeda Takeshi;Mori Eiji;Takao Tsuneaki;Sakai Hiroaki;Masuda Muneaki;Morishita Yuichiro;Hayashi Tetsuo;Kubota Kensuke;Kobayakawa Kazu;Kaneyama Hironari
研究设计回顾图表审核。目的探讨在评估创伤性完全性颈髓损伤所致瘫痪时，确定永久性完全性颈髓损伤的最佳时机。日本脊柱损伤中心骨科设置。方法选择创伤性颈髓损伤初诊72 h内美国脊髓损伤协会(ASIA)A级A级颈髓损伤患者203例。提取从最初诊断到损伤后1年的神经学数据。结果203例AIS A分级的CSCI患者中，35例(17%)AIS A恢复，其中34例(97%)在伤后8周内AIS A恢复。结论CSCI合并AIS A的患者如果在伤后8周仍未恢复，AIS A恢复的可能性很小。然而，这反过来意味着，我们必须考虑这样一种可能性，即被归类为AIS A的创伤性CSCI患者在受伤后8周内仍有可能从AIS A中恢复过来。
Study designRetrospective chart audits.ObjectiveTo investigate the optimal timing at which permanent complete cervical spinal cord injury (CSCI) can be confirmed when evaluating paralysis caused by traumatic CSCI.SettingDepartment of Orthopedic Surgery, Spinal Injuries Center, Japan.MethodsTwo-hundred and three patients with CSCI that was classified with an American Spinal Injury Association (ASIA) Impairment Scale (AIS) grade A (AIS A) within 72 h of the initial diagnosis of traumatic CSCI were included in the present study. Neurological data from the time of the initial diagnosis to 1 year after the injury were extracted. The number of those with recovery from AIS A and changes of AIS in the recovery were examined.ResultsThirty-five of 203 (17%) patients whose injuries were initially classified with an AIS A showed recovery from AIS A. Thirty-four of 35 (97%) patients showed recovery from AIS A within 8 weeks after injury.ConclusionIf CSCI patients with AIS A have not recovered by 8 weeks, the likelihood that they will recover from AIS A is marginal. However, this conversely means that we must consider the possibility that a patient with a traumatic CSCI classified with an AIS A may still show recovery from AIS A within the first 8 weeks after injury.
影响因子：
2.2
作者：
van Middendorp, J. J.;Hosman, A. J. F.;van de Meent, H.
通讯作者：
van de Meent, H.
影响因子：
3
作者：
Kawano, Osamu;Maeda, Takeshi;Shiba, Keiichiro
通讯作者：
Shiba, Keiichiro