The long-term outcome after central cord syndrome: a study of the natural history
Autor: | M L, Newey, P K, Sen, R D, Fraser |
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Rok vydání: | 2000 |
Předmět: |
Adult
Aged 80 and over Male Health Status Walking Length of Stay Middle Aged Central Cord Syndrome Severity of Illness Index Survival Analysis Treatment Outcome Urinary Incontinence Surveys and Questionnaires Activities of Daily Living Cervical Vertebrae Humans Female Aged Follow-Up Studies Retrospective Studies |
Zdroj: | The Journal of bone and joint surgery. British volume. 82(6) |
ISSN: | 0301-620X |
Popis: | We studied 32 patients with central cord syndrome who were managed conservatively. Six were under 50 years of age (group 1), 16 between 50 and 70 years (group 2) and ten over 70 years (group 3). At the time of discharge all patients in group 1 could walk independently and had good bladder control compared with 11 (69%) and 14 (88%) in group 2 and four (40%) and two (20%) in group 3, respectively. At follow-up after a mean of 8.6 years (4 to 15), ten patients had died leaving 22 in the study. All those in group 1 were alive, could walk independently and had bladder control. In group 2, 13 were alive of whom ten (77%) could walk independently and nine (69%) had bladder control. In group 3 only three were alive of whom only one was independent and none had bladder control. Function at discharge as measured by the ASIA motor scoring system was usually maintained or improved at follow-up, but patients over 70 years of age at injury did poorly. |
Databáze: | OpenAIRE |
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