STUDY DESIGN Retrospective chart review. OBJECTIVES To determine the frequency of stable and unstable cervical spine fractures after gunshot wounds to the head or neck; to identify potential risk factor(s) for an unstable versus stable cervical spine fracture. SUMMARY OF BACKGROUND DATA Cervical spine fractures after gunshot wounds to the head and neck are common. Because of the nature of t...

Study Design: Retrospective cohort study using aggregated data from our institute. Objective: To examine the effects of hypotension requiring catecholamine (dopamine and epinephrine) administration on neurologic recovery in acute cervical spinal cord injury (SCI). Summary of Background Data: Following spinal cord injury, traumatic blood loss and spinal shock can occur causing low blood pressure...

Although it is well established that patients with cervical spinal cord injury are prone to acute, marked, hypertensive episodes, i.e., autonomic hyperreflexia, the specific mechanisms mediating this sometimes-fatal phenomenon are not completely understood. In this report, we describe the preparation and characterization of a rat model of chronic cervical spinal cord injury and autonomic hyperr...

Cellular transplantation strategies utilizing intraspinal injection of mesenchymal progenitor cells (MPCs) have been reported as beneficial for spinal cord injuries. However, intraspinal injection is not only technically challenging, but requires invasive surgical procedures for patients. Therefore, we investigated the feasibility and potential benefits of noninvasive intravenous injection of M...

Cervical epidural steroid injection is frequently used in the conservative management of neck pain and cervical radiculopathy. Epidural cervical transforaminal injections are usually well-tolerated with mild side effects such as transient decreased sensory and motor function, or headache due to dural puncture. Although there are a few case reports about adverse effects of cervical epidural inje...

[Purpose] The purpose of this study was to determine the baseline values knee joint extension muscle strength required for walking independence by patients with acute incomplete cervical cord injury. [Participants and Methods] Fifty-nine spinal injury ASIA Impairment Scale C D who were admitted an care hospital included study. classified into two groups, non-independence, their basic informatio...

BACKGROUND There have been many reports on the problems of spinal cord injury (SCI) in Nigeria but few have reported on the complications and causes of death in spinal cord injured patients. OBJECTIVE The objective of this study was to determine the complications, causes of death and associated risk factors in patients with SCI within six months post injury. METHODS Patients were retrospect...

Fig. 1.-Case 1: Sagittal MR image (700/20; 0.5 T) shows marked atrophy of cord (arrows) extending from C7 to T3. Thoracic spinal cord is normal. No fractures or subluxations are present. Fig. 2.-Case 2: Sagittal magnified MR image (700/20; 1.5 T) shows severe atrophy of cervical spinal cord at T1 and T2. Linear areas of isointense signal intensity in thecal sac (arrows) posterior to region of c...

Scientific interest to find a treatment for spinal cord injuries has led to the development of numerous experimental strategies to promote axonal regeneration across the spinal cord injury site. Although these strategies have been developed in acute injury paradigms and hold promise for individuals with spinal cord injuries in the future, little is known about their applicability for the vast m...

Diffusion tensor imaging (DTI) is rarely applied in spinal cord injury (SCI). The aim of this study was to correlate diffusion properties after SCI with electrophysiological and neurological measures. Nineteen traumatic cervical SCI subjects and 28 age-matched healthy subjects participated in this study. DTI data of the spinal cord were acquired with a Philips Achieva 3 T MR scanner using an ou...