Heterotopic Ossification After Spinal Cord Injury: Current Clinical Approaches

AbstractPurpose of ReviewHeterotopic ossification (HO) is a frequent complication after spinal cord injury (SCI). This review article critically analyzes the scientific literature of HO after SCI and offers expert opinion on how past research translates to clinical practice.Recent FindingsTriple-phase bone scintigraphy has been the gold standard for diagnosing HO; however, recent research suggests diagnostic ultrasound may be more convenient, cost-effective, and safe. Currently, routine pharmaceutical prophylaxis for HO after SCI is not recommended. Range of motion exercises are advised to prevent and treat HO. Etidronate was approved for HO treatment, but it is no longer available in the USA. Evidence to support the use of alternate bisphosphonates is lacking. Surgical resection is reserved for select cases where the primary goal is improving function.SummaryHO is a common complication after SCI, and continued research is needed to improve diagnosis, prevention, and treatment.
Source: Current Physical Medicine and Rehabilitation Reports - Category: Rehabilitation Source Type: research