Abstract
Study design:
Retrospective study.
Objectives:
To evaluate the demographic and clinical characteristics of patients diagnosed with spinal cord injury (SCI) admitted to a single center.
Setting:
Single center study, México.
Methods:
This study reviewed 433 patients with SCI. Data were extracted from medical records and retrospectively reviewed.
Results:
A total of 433 patients with a diagnosis of SCI were included in the analysis. Of these, 346 (79.9%) had traumatic SCI (TSCI) and 87 (20.1%) had non-traumatic SCI (NTSCI). The principal causes of traumatic TSCI were motor vehicle accidents in 150 patients (43.4%), falls in 107 patients (30.9%) and a result of firearms in 58 patients (16.8%). Tumoral cord compression was the main cause of NTSCI in 50 patients (57.4%), followed by degenerative disease-causing myelopathy in 17 patients (19.5%). The proportion of patients affected with NTSCI was significantly lower, 29.9 vs 79.1% (P=0.0001), the age of patients was higher 53.9 vs 37.8 (P<0.002) and SCI was less severe, AIS D 41.33 vs 9.5% (P=0.0001) compared with the TSCI group.
Conclusions:
The demographic profiles of patients with TSCI and NTSCI differ in terms of proportion of total SCIs, patient age, male:female ratio and incomplete vs complete injury. The most common etiology of TSCI was motor vehicle accidents (43.4%), and neurological lesions were complete in 62.7% of patients. The most common etiology of NTSCI was tumoral spinal lesions (57.4%), and lesions were incomplete in 75.8% of patients.
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References
Sekhon LH, Fehlings MG . Epidemiology demographics, and pathopysiology of acute spinal cord injury. Spine 2001; 26: S2–12.
McKinley WO, Seel RT, Gadi RK, Tewksbury MA . Nontraumatic vs traumatic spinal cord injury: a rehabilitation outcome comparison. Am J Phys Med Rehabil 2001; 80: 693–699.
Majdan M, Brazinova A, Mauritz W . Epidemiology of traumatic spinal cord injuries in Austria 2002-2012. Eur Spine J 2015; 25: 62–73.
Löfvenmark I, Norrbrink C, Nilsson-Wikmar L, Hultling C, Chakamdinakira S, Hasselberg M . Traumatic spinal cord injury in Botswana: characteristics, aetiology and mortality. Spinal Cord 2015; 53: 150–154.
Wyndaele M, Wyndaele J-J . Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord 2006; 44: 523–529.
New PW, Cripps RA, Bonne Lee B . Global maps of non-traumatic spinal cord injury epidemiology: towards a living data repository. Spinal Cord 2014; 52: 97–109.
New PW, Sundararajan V . Incidence of non-traumatic spinal cord injury in Victoria, Australia: a populationbased study and literature review. Spinal Cord 2008; 46: 406–411.
McKinley MO, Tewksbury MA, Goodbout CJ . Comparision of medial complications following nontraumatic and traumatic spinal cord injury. J Spinal Cord Med 2002; 25: 88–93.
Noonan VK, Fingas M, Farry A, Baxter D, Singh A, Fehlings MG et al. Incidence and prevalence of spinal cord injury in Canda: a national prespective. Neuroepidemiology 2012; 38: 219–226.
New PW, Farry A, Baxter D, Noonan VK . Prevalence of non-traumatic spinal cord injury in Victoria, Australia. Spinal Cord 2013; 51: 99–102.
García-Estévez DA, Miguéns-Vázquez X, Cadarso-Palau A, Quevedo-Vila V . Non-traumatic myelopathies in a district hospital: an epidemiological descriptive study of 68 cases. Rev Neurol 2013; 57: 383–384.
Quintana-González A, Sotomayor-Espichain R, Martínez-Romero M, Kuroki-García C . Lesiones medulares no traumáticas: Etiología, demografía y clínica. Rev Peru Med Exp Salud Publica 2011; 28: 633–638.
Ferdiana A, Post MW, Hoekstra T, van der Woude LH, van der Klink JJ, Bültmann U . Employment trajectories after spinal cord injury: results from a 5-year prospective cohort study. Arch Phys Med Rehabil 2014; 95: 2046.
Krause JS, Bozard JL . Natural course of life changes after spinal cord injury: a 35-year longitudinal study. Spinal Cord 2012; 50: 227–231.
Ibrahim A, Lee KY, Kanoo LL, Tan CH, Hamid MA, Hamedon NM et al. Epidemiology of spinal cord injury in hospital Kuala Lumpur. Spine 2013; 38: 419–424.
Kirshblum SC, Biering-Sorensen F, Betz R, Burns S, Donovan W, Graves DE et al. International standards for neurological classification of spinal cord injury: cases with classification challenges. J Spinal Cord Med 2014; 37: 120–127.
Fielingsdorf K, Dunn RN . Cervical spine injury outcome—a review of 101 cases treated in a tertiary referral unit. S Afr Med J 2007; 97: 203–207.
Bjornshave Noe B, Mikkelsen EM, Hansen RM, Thygesen M, Hagen EM . Incidence of traumatic spinal cord injury in Denmark 1990-2012: a hospital-based study. Spinal Cord 2015; 53: 436–440.
Alshahari SS, Cripps RA, Lee BB, Al-Jadid MS . Traumatic spinal cord injury in Saudi Arabia: an epidemiological estimate from Riyadh. Spinal Cord 2012; 50: 882–884.
Mathur N, Jain S, Kumar N, Srivastava A, Purohit N, Patni A . Spinal cord injury: scenario in an Indian state. Spinal Cord 2015; 53: 349–352.
Costacurta ML, Taricco LD, Kobaiyashi ET, Cristante AR . Epidemiological profile of a pediatric population with acquired spinal cord injury from AACD: Sao Paulo/Brazil. Spinal Cord 2010; 48: 118–121.
Ones K, Yilmaz E, Beydogan A, Gultekin O, Caglar N . Comparison of functional results in non-traumatic and traumatic spinal cord injury. Disabil Rehabil 2007; 29: 1185–1191.
DeVivo MJ, Chen Y . Trends in new injuries prevalent cases, and aging with spinal cord injury. Arch Phys Med Rehabil 2011; 92: 332–338.
Scivloetto G, Farchi S, Laurenza L, Molinari M . Traumatic and non-traumatic spinal cord lesions: an Italian comparison of neurological and functional outcomes. Spinal Cord 2011; 49: 391–396.
O’Connor P . Incidence and patterns of spinal cord injury in Australia. Accid Anal Prev 2002; 34: 405–415.
Chung SB, Lee SH, Kim ES, Eoh W . Incidence of deep vein trombosis after spinal cord injury: a prospective study in 37 consecutive patients with traumatic or nontraumatic spinal cord injury treated by mechanical prophylaxis. J trauma 2011; 71: 867–871.
Rouleau P, Guertin PA . Traumatic and non traumatic spinal cord injured patients in Quebec Canada. Part 2: Biomech Profile 2010; 48: 819–824.
New PW, Rawicki HB, Bailey MJ . Nontraumatic spinal cord injury: demographic characteristics and complications. Arch Phys Med Rehabil 2002; 83: 996–1001.
Cosar SN, Yemisci OU, Oztop P, Cetin N, Sarifakioglu B, Yalbuzdag SA et al. Demographic characteristics after traumatic and non-traumatic spinal cord injury: a retrospective comparison study. Spinal Cord 2010; 48: 862–866.
Celani MG, Spizzichino L, Ricci S, Zampolini M, Franceschini M . Spinal cord injury in Italy: a multicenter retrospective study. Arch Phys Med Rehabil 2001; 82: 589–596.
Bransford RJ, Chapman JR, Skely AC, VanAlstyne EM . What do we currently know about thoracic apinal cord injury recovery and outcomes? A systematic review. J Neurosurg Spine 2012; 17: 52–64.
Scivoletto G, Lapenna LM, Di Donna V, Laurenza L, Sterzi S, Foti C et al. Neoplastic myelopathies and traumatic spinal cord lesions:an Italian comparision of functional and neurological otucomes. Spinal Cord 2011; 49: 799–805.
Vervoordeldonk JJ, Post MW, New P . Rheabilitation of patients with traumatic spinal cord injury in the Netherlands: etiology, length of stay and functional outcome. Top Spinal Cord Inj Rehabil 2013; 19: 195–201.
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Zárate-Kalfópulos, B., Jiménez-González, A., Reyes-Sánchez, A. et al. Demographic and clinical characteristics of patients with spinal cord injury: a single hospital-based study. Spinal Cord 54, 1016–1019 (2016). https://doi.org/10.1038/sc.2016.41
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DOI: https://doi.org/10.1038/sc.2016.41
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