Recovery of neurologic function after spinal cord injury in Israel
Recovery of neurologic function after spinal cord injury in Israel
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DOI：
10.1097/00007632-200208150-00009
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发表时间：
2002-08-15
期刊：
影响因子：
3
通讯作者：
Gepstein, R
中科院分区：
文献类型：
--
作者：
Catz, A;Thaleisnik, M;Gepstein, R
研究设计.进行了一项回顾性队列研究。评估脊髓损伤后的神经功能恢复以及神经功能损伤严重程度对其的影响。来自不同国家的研究，但不是来自以色列，已经显示出相当大的潜力，为恢复受损的人类脊髓。研究样本包括1962年至1992年期间在以色列主要转诊医院接受康复治疗的250名创伤性脊髓损伤患者。收集每例患者的人口统计学和临床数据，通过比较首次入院时的Frankel神经功能缺损分级和出院时的神经功能缺损分级来确定。从受伤到入院接受康复治疗的平均延迟时间为36天。在康复期间，入院时为A、B或C级的所有患者中有27%的患者神经功能完全或实质性恢复（升级至Frankel D或E级），C级患者中有54%。神经功能恢复与神经功能缺损程度呈负相关。其结果与其他国家脊柱康复单位的报告结果相似。这项研究进一步证明了脊髓损伤后神经功能恢复的巨大潜力，创伤后或手术后管理的重点是预防并发症和最大限度地利用功能能力。
Study Design. A retrospective cohort study was conducted.Objective. To assess neurologic recovery and the manner in which it is affercted by the severity of the neurologic dmage agter spinal cord injury.Summary of Background Data. Srudies from various countries, but not from Israel, have shown considerable potential for recovery of the damaged human spinal cord.Methods. The study sample included 250 patients with a traumatic spinal cord lesion treated between 1962 and 1992 at the major referral hospital for rehabilitation in Israel. Demographic and clinical data were collected from each patient was determined by comparing the Frankel grade of neurologic deficit at first admission for rehabilitation with the grade at discharge from that hospitalization.Results. There was median delay of 36 day sbetween injury and admission for rehabilitation. During rehabilitation, full or substantial neurologic recovery (upgrade to Frankel Grade D or E) occured in 27% of all the patients who were Grade A, B, or C on admission, and in 54% of those who were Grade C. The neurologic recovery was negatively associated with severity of the neurologic deficit.Conclusions. The outcome findings are similar to those reported form spinal rehabilitation units in other countries. The study is a further demonstration of the considerable potential for neurologic recovery after spinal cord injury, when posttraumatic or postsurgical management is focused on prevention of complications and maximal use of functional ability.