Abstract:
STUDY DESIGN:A biomechanical unitary classification of spinal injuries is proposed. OBJECTIVE:To present an evaluation of spinal injuries based on the essential traumatic spinal mechanisms: axial deformation, torsion, translation and combined mechanisms in connection with the concept of the stabilizing axial spinal pillar. SETTING:Hospital 'Sf. Treime', Iasi, Romania. METHODS:The essential mechanisms of spinal injuries are considered: (1) axial deformation with (a) compression (centric or eccentric), most often eccentric, including compression in flexion or extension; (b) spinal elongation with distraction as centric elongation, but frequently axial eccentric elongation and a flexion or extension injury; (2) torsion or axial spinal rotation, (3) segmental translation, with a shearing version for the double translation and (4) combined mechanisms - the most frequent situation. Over 300 patients with spinal injuries were analysed and the spinal instability was determined using the criteria of clinical instability. The cases of spinal instability were studied in connection with the types of lesion of the central axial spinal pillar. RESULTS:All cases with lesions of the central axial spinal pillar had traumatic spinal instability. The spinal instability was absent in cases of isolated lesions of the anterior or posterior secondary pillar. The X-ray and spinal CT analysis of the traumatic spinal lesions showed the types of lesions and specified the mechanisms of spinal injuries. The combined mechanisms were responsible for the majority of the spinal injuries. CONCLUSIONS:Spinal instability occurs because of the lesion of the central axial spinal pillar The types of lesions of the central spinal pillar and of the secondary spinal pillars are determined by the essential traumatic spinal mechanisms: axial deformation (with compression or elongation), axial rotation, translation and most frequently the above combined mechanisms.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Iencean SMdoi
10.1038/sj.sc.3101468subject
Has Abstractpub_date
2003-07-01 00:00:00pages
385-96issue
7eissn
1362-4393issn
1476-5624pii
3101468journal_volume
41pub_type
杂志文章相关文献
SPINAL CORD文献大全abstract:STUDY DESIGN:A case-control evaluating seminal citrate in patients with spinal cord injury (SCI). OBJECTIVE:Several studies have shown neurological prostatic dysfunction in patients with SCI, as confirmed by low levels of seminal prostate-specific antigen (PSA), which is used as a parameter of gland activity. However,...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2009.62
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Despite evidence of the relationship between time use and health and well-being, and the World Health Organization's recognition of activity limitation as a measure of dis-ability, there has been limited investigation into the activity patterns of persons with disabilities. METHODS:Interviews and time diari...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100908
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES:To describe health-related quality of life (HRQoL) in persons with traumatic spinal cord injury (TSCI) and to assess factors that affect HRQoL. STUDY DESIGN:Cross-sectional. METHODS:Eighty Estonian-speaking TSCI patients from the Estonian TSCI database were included in the study. The RAND-36 questionnaire,...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.47
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVE:To draw attention to inadequate care received by some spinal cord injury patients after discharge from the regional spinal injury center. SETTING:Regional Spinal Injuries Centre, Southport, UK. METHODS:Presence of the urethral stricture was not recognised in a 69-year-old male with T-3 paraplegia, who atten...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101576
更新日期:2004-08-01 00:00:00
abstract:STUDY DESIGN:This study was a randomized, parallel-group, controlled clinical trial. OBJECTIVES:The purpose of this study was to examine the efficacy of targeting inflammation as a means of improving cognitive function in individuals with spinal cord injury. SETTING:Participants were recruited from the Niagara region...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2016.96
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The objective of this study is to investigate the changes of urothelial junction proteins, apoptosis and suburothelial inflammation after detrusor injection of botulinum toxin A (BoNT-A) in patients with spinal cord injury (SCI) and neurogenic detrusor overactivity (NDO). METHODS:A total of 26 patients with ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.241
更新日期:2016-10-01 00:00:00
abstract::The National Rehabilitation Center for the Disabled (hereunder abbreviated NRC) in Japan was established in 1979. It consists of four divisions: the hospital, the rehabilitation training center, the research institute, and the information service section. The spinal unit has been functioning and cooperating corelative...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100534
更新日期:1997-11-01 00:00:00
abstract:STUDY DESIGN:Case-control study. OBJECTIVES:To investigate changes of biomechanical skin properties and their relationship with paralysis following spinal cord injury (SCI). SETTING:South Korea. METHODS:A total of 48 male subjects with chronic SCI and 48 age-matched healthy controls were enrolled into this study. Th...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.95
更新日期:2011-02-01 00:00:00
abstract:UNLABELLED:Deep vein thrombosis (DVT) is a common complication of paraplegia despite prophylactic anticoagulant therapy. The diagnosis relies primarily on ultrasonography or phlebography; these investigations are difficult, expensive and can be time-consuming in paraplegic patients. STUDY DESIGN:To evaluate the useful...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100891
更新日期:1999-08-01 00:00:00
abstract::Spinal cord injury (SCI) patients with a neuropathic bladder are more prone to develop catheter-induced urethral trauma than occurs in the general population because many of the SCI patients are on indwelling urethral catheter drainage, or intermittent urethral catheterisation is performed either by them or by their c...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sc.1996.117
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVES:Hereditary spastic paraplegia (HSP) is a degenerative central nervous system disorder characterized by progressive spasticity and hyperreflexia of the lower limbs. Often, patients with HSP experience symptoms of voiding dysfunction. Urodynamic evaluations of these patients are rarely reported in the literatu...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2011.193
更新日期:2012-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective hospital-based study. OBJECTIVES:To describe the epidemiologic features of traumatic spinal cord injury (TSCI) in Anhui Province. SETTING:Two hospitals within Anhui Province, China. METHODS:We retrospectively reviewed the hospital records on all patients with TSCI, admitted between 1 Jan...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2012.92
更新日期:2013-01-01 00:00:00
abstract:STUDY DESIGN:Retrospective chart review. OBJECTIVES:Each type of intramedullary spinal cord tumor (IMSCT) has specific anatomical and pathological features visible on magnetic resonance (MR) imaging. The purpose of this study was to investigate the accuracy of preoperative IMSCT diagnosis using our diagnostic chart of...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.127
更新日期:2014-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective cross-sectional study. OBJECTIVES:To investigate the characteristics of posttraumatic symptomatic syringomyelia after spinal cord injury (SCI). SETTING:Swiss Paraplegic Centre, Nottwil, Switzerland. METHODS:The patient database was screened for patients diagnosed with posttraumatic syringo...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.218
更新日期:2016-06-01 00:00:00
abstract:STUDY DESIGN:Prospective study. OBJECTIVES:To investigate whether preoperative and postoperative changes of signal intensity (SI) and transverse area (TA) of the spinal cord reflect the surgical outcome in patients with cervical spondylotic myelopathy (CSM). SETTING:The Second Hospital of Tangshan, Tangshan, Hebei, C...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.204
更新日期:2015-06-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional, correlational design. OBJECTIVES:To examine the effects of individual demographics, activities of daily living, social support, and self-concept on depressive symptoms in people with spinal cord injury (SCI). SETTING:A convenience sample of 135 adults with SCI was recruited from medical ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.158
更新日期:2015-05-01 00:00:00
abstract::The demyelination process is an important factor contributing to long term sensory and motor impairments after spinal cord injury (SCI). Exposure of axonal K+ channels after demyelination may contribute to blockage of action potentials across the injury site. A K+ channel blocker, 4-aminopyridine (4-AP), has been effe...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100502
更新日期:1998-01-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional questionnaire study. OBJECTIVES:The aim of the study was to demonstrate the value of common general health-related quality of life (HRQL) instruments, readily available for cross-cultural comparisons, in persons with spinal cord lesion (SCL) treated at spinal units in Melbourne, Australia ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101692
更新日期:2005-02-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional descriptive analysis of magnetic resonance imaging (MRI) and clinical outcome. OBJECTIVES:The aim of this study was to present anatomically consistent and independent spinal cord atrophy measures based on standard MRI material and analyze their specific relations to sensory and motor outco...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.87
更新日期:2011-01-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional study. OBJECTIVES:To investigate the kinematic, kinetic and electromyographic (EMG) aspects of postural control during falling with rapid reach-and-grasp balance reaction in thoracic cord-injured individuals wearing knee-ankle-foot orthoses (KAFOs). SETTING:Institutional Motion Analysis L...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3102100
更新日期:2008-03-01 00:00:00
abstract:STUDY DESIGN:Randomized, double-blind, crossover, sham-controlled trial. OBJECTIVES:Repetitive transcranial magnetic stimulation (rTMS) over the primary motor cortex (M1) leads to a significant reduction of spasticity in subjects with spinal cord injury (SCI), but the physiological basis of this effect is still not we...
journal_title:Spinal cord
pub_type: 杂志文章,随机对照试验
doi:10.1038/sc.2014.136
更新日期:2014-11-01 00:00:00
abstract::The aim of the multicentre study entitled 'Description and Documentation of Painful States in Spinal Cord Injury Patients', in addition to the description and documentation of chronic pain and stressful dysaesthesiae in SCI patients, was the search for correlations between these symptoms and medical and psychosocial v...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1038/sj.sc.3100411
更新日期:1997-07-01 00:00:00
abstract:STUDY DESIGN:This is a narrative review of the literature. OBJECTIVES:This review aims to be useful in identifying therapeutic targets. It focuses on the molecular and biochemical neuroplasticity changes that occur in the somatosensory system, including ascending and descending pathways, during the development of neur...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sc.2015.225
更新日期:2016-05-01 00:00:00
abstract:STUDY DESIGN:A case report. OBJECTIVES:To report a case of swelling of the spinal cord and an intramedullary lesion occurring after expansive laminoplasty for cervical spondylotic myelopathy. SETTING:A university hospital in Japan. METHODS:Clinical evaluation, radiography, MR imaging. RESULTS:A 65-year-old man with...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101262
更新日期:2002-03-01 00:00:00
abstract:STUDY DESIGN:Patient feedback study. OBJECTIVES:To measure how patients value the telemedicine consultation service at the National Spinal Injuries Centre over a period of 8 months. SETTING:United Kingdom (south of England). METHODS:Telephone survey conducted by an external surveyor who does not work in the departme...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.247
更新日期:2015-04-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort analysis with prospective follow-up. OBJECTIVES:To evaluate neurological and functional recovery following central cord syndrome. SETTING:Northern Ireland, population 1.8 million. METHODS:Twenty-seven cords were identified in 1 year. Five managed conservatively and 22 with surgery. ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.34
更新日期:2016-11-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional, focus group. OBJECTIVES:To explore positive and negative issues reported by family caregivers of people with spinal cord injury (SCI) to develop a relevant and valid tool to assess caregiver distress and benefit for this unique population. METHODS:Seventy-three family caregivers of peopl...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.25
更新日期:2016-09-01 00:00:00
abstract:STUDY DESIGN:Multicenter prospective cohort. OBJECTIVE:To discern neurological- and functional recovery in patients with a traumatic thoracic spinal cord injury (TSCI), conus medullaris syndrome (CMS), and cauda equina syndrome (CES). SETTING:Specialized spinal cord injury centers in Europe. METHOD:Lower extremity m...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-020-0463-1
更新日期:2020-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVES:The old-version JOA score for cervical myelopathy (CM) is an evaluation system performed by medical providers that focuses only on neurological function. The purpose of this study was to evaluate patient-reported outcomes using the Japanese Orthopaedic Association Ce...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-019-0258-4
更新日期:2019-08-01 00:00:00
abstract::A solitary osteochondroma of the vertebral column is rare, and also it will rarely cause neurological deficits. Myelopathy from a tumour usually presents insidiously with neurological deficits. We report a case of a huge solitary osteochondroma at T11 level with an acute onset of myelopathy induced by a minor trauma. ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3100541
更新日期:1997-11-01 00:00:00