Diagnostic criteria of traumatic central cord syndrome. Part 2: A Questionnaire Survey among Spine Specialists
| Autor: | J J, van Middendorp, M H, Pouw, K C, Hayes, R, Williams, H S, Chhabra, C, Putz, R P H, Veth, A C H, Geurts, S, Aito, J, Kriz, W, McKinley, F W A, van Asbeck, A, Curt, M G, Fehlings, H, Van de Meent, A J F, Hosman, J, Benito |
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| Přispěvatelé: | University of Zurich |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
610 Medicine & health Central Cord Syndrome Diagnosis Differential Central nervous system disease Disability Evaluation Surveys and Questionnaires medicine Humans Paralysis Spinal cord injury Rachis Human Movement & Fatigue [NCEBP 10] Muscle Weakness Spinal Cord Trauma business.industry Data Collection Questionnaire General Medicine medicine.disease Central cord syndrome 2728 Neurology (clinical) Vertebral canal Neurology 2808 Neurology Physical therapy 10046 Balgrist University Hospital Swiss Spinal Cord Injury Center Neurology (clinical) medicine.symptom business |
| Zdroj: | Spinal Cord, 48, 657-63 Spinal Cord, 48, 9, pp. 657-63 |
| ISSN: | 1476-5624 1362-4393 |
| DOI: | 10.1038/sc.2010.72 |
| Popis: | Item does not contain fulltext STUDY DESIGN: A questionnaire survey. OBJECTIVES: To evaluate the need for the introduction of quantitative diagnostic criteria for the traumatic central cord syndrome (TCCS). SETTING: An online questionnaire survey with participants from all over the world. METHODS: An invitation to participate in an eight-item online survey questionnaire was sent to surgeon members of AOSpine International. RESULTS: Out of 3340 invited professionals, 157 surgeons (5%) from 41 countries completed the survey. Whereas most of the respondents (75%) described greater impairment of the upper extremities than of the lower extremities in their own TCCS definitions, symptoms such as sensory deficit (39%) and bladder dysfunctions (24%) were reported less frequently. Initially, any difference in motor strength between the upper and lower extremities was considered most frequently (23%) as a 'disproportionate' difference in power. However, after presenting literature review findings, the majority of surgeons (61%) considered a proposed difference of at least 10 points of power (based on the Medical Research Council scale) in favor of the lower extremities as an acceptable cutoff criterion for a diagnosis of TCCS. Most of the participants (40%) felt that applying a single criterion to the diagnosis of TCCS is insufficient for research purposes. CONCLUSION: Various definitions of TCCS were used by physicians involved in the spinal trauma care. The authors consider a difference of at least 10 motor score points between upper and lower extremity power a clear diagnostic criterion. For clinical research purposes, this diagnostic criterion can be considered as a face valid addendum to the commonly applied TCCS definition as introduced by Schneider et al. 01 september 2010 |
| Databáze: | OpenAIRE |
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