Granulocytic sarcoma causing long spinal cord compression: Case report and literature review.
Conclusion: Extramedullary infiltration of CML should be taken into consideration when a mass lesion develops and compresses the spinal cord in a CML patient who has been receiving routine and standard treatment modalities; thus, a sudden and unexpected progression mandates a refinement and upgrade of treatment modality. PMID: 32543308 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Restoration of the penile sensory pathway through end-to-side dorsal root neurorrhaphy in rats.
Conclusion: Our studies demonstrated the feasibility of end-to-side DR transfer neurorrhaphy for restoring the penile sensory pathway in rats. PMID: 32543346 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Data acquisition process for VA and non-VA emergency department and hospital utilization by veterans with spinal cord injury and disorders in California using VA and state data.
Conclusion: Non-VA ED and hospital usage among veterans with SCI/D occurred frequently. The acquisition of non-VA healthcare data managed by state agencies is vital to accurately and comprehensively evaluate needs and utilization rates among veteran populations. PMID: 32543354 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Prevalence of lateral epicondylosis in veteran manual wheelchair users participating in adaptive sports.
Authors: Cyr AK, Colorado BS, Uihlein MJ, Garlanger KL, Tarima SS, Lee K Abstract Objective: Determine the prevalence of lateral epicondylosis (LE) of the dominant elbow in manual wheelchair users based on ultrasound assessment and physical exam. Design: Prospective, cross-sectional. Setting: National Veteran Wheelchair Games 2018 and 2019 (event medical services). Participants: Manual wheelchair users who attended the National Veteran Wheelchair Games (n = 87). Interventions: Participants completed a questionnaire then underwent an ultrasound assessment and a physical exam of their dominant arm evalu...
Source: Journal of Spinal Cord Medicine - June 14, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Endoscopic modified total laminoplasty for symptomatic lumbar spinal stenosis.
Authors: Du WJ, Wang J, Wang Q, Yuan LJ, Lu ZX Abstract Context/objective: At present, there is no consensus on the most effective surgical method for treating symptomatic lumbar spinal stenosis (LSS). Total laminectomy, which is frequently used at this time, destroys the posterior midline structure, causing many postoperative complications. We have designed a new surgical approach instead of total laminectomy. In this paper, we aimed to describe the surgical method of endoscopic modified total laminectomy for lumbar spinal stenosis as well as to explore its early efficacy.Participants: Patients with symptomatic LS...
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Ibuprofen use is associated with reduced C-reactive protein and interleukin-6 levels in chronic spinal cord injury.
Conclusions: Our study suggests that self-reported ibuprofen use may be negatively associated with CRP and IL-6 levels in chronic SCI after adjusting for known confounding factors, and suggests ibuprofen use may be an important, potential variable to consider in future studies focused on systemic inflammation in SCI. Future prospective studies require assessing frequency, duration, and dosage-dependent effects of ibuprofen on systemic markers of inflammation in chronic SCI. These findings may support future clinical trials to determine safety and efficacy of ibuprofen treatment for various outcomes in chronic SCI. PMID...
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Comparison of the gut microbiome composition among individuals with acute or long-standing spinal cord injury vs. able-bodied controls.
Authors: Li J, Van Der Pol W, Eraslan M, McLain A, Cetin H, Cetin B, Morrow C, Carson T, Yarar-Fisher C Abstract Objective: Compare the gut microbiome composition among individuals with acute spinal cord injury (A-SCI), long-standing SCI (L-SCI), vs. able-bodied (AB) controls.Design: Cross-sectional study.Setting: The University of Alabama at Birmingham.Participants: Seven adults with A-SCI (36 ± 12 years, 2F/5M, C4-T10, and American Spinal Injury Association Impairment Scale [AIS] A-D), 25 with L-SCI (46 ± 13 years, 6F/19M, C4-L1, and AIS A-D), and 25 AB controls (42&thins...
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Impact of tetraplegia vs. paraplegia on venoarteriolar, myogenic and maximal cutaneous vasodilation responses of the microvasculature: Implications for cardiovascular disease.
Conclusion: Increases in SkVR during cuff inflation (VAR) and limb dependency (VAR and MYO) are unaltered after SCI, however maximal vasodilation in the LE post-SCI is higher than AB persons. PMID: 32496962 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Relationship between pain, fatigue, and physical activity levels during a technology-based physical activity intervention.
Conclusion: Our results indicated that PA was associated with chronic pain, and the relationship differed based on intensity and amount of PA performed. Further research is necessary to refine PA recommendations for individuals with SCI who experience chronic pain.Trial registration: ClinicalTrials.gov identifier: NCT03773692. PMID: 32496966 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Absent sural responses in tethered cord syndrome.
Conclusion/clinical relevance: We believe that this finding is caused by a selective injury of sensory fibers at the level or distal to the dorsal root ganglia. PMID: 32496975 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - June 5, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Relationship between ultrasonographically low-echoic lesions under the skin, wheelchair sitting time, and interface pressure on ischial region in individuals with chronic spinal cord injury.
Authors: Kawasaki S, Nishimura Y, Kamijo YI, Uenishi H, Nakamura T, Kouda K, Koike Y, Nakamura T, Tajima F Abstract Objective: To determine the relationship between physical findings, wheelchair sitting time, and interface pressure on ischial region in subjects with spinal cord injury (SCI).Design: Cross-sectional study.Setting: Rehabilitation center in Japan.Participants: Manual wheelchair users with chronic SCI (n = 45).Interventions: Pressure ulcers (PU) were diagnosed by inspection, palpation, and ultrasonography. Self-reports were obtained on wheelchair sitting time and pressure mapping was recor...
Source: Journal of Spinal Cord Medicine - May 23, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Acupuncture combined with moxibustion promote the recovery of spinal cord injury in correlation with Shh/Gli-1 signaling pathway.
Authors: Ding LL, Hu SF, He XW, Zhang P, Zhao FF, Liu TP, Zhang Q, He F, Yu Y, Xiong P, Wang CK Abstract Objective: Acupuncture combined with moxibustion (AM) therapy has been applied to treat spinal cord injury (SCI), but the underlying mechanism is unclear. The present study aimed to confirm the effect and mechanism of AM treatment on the recovery of SCI.Design: Male Sprague-Dawley rats were used to establish the SCI model by impact method. SCI rat models were subjected to AM treatment at Dazhui (GV14) and Jiaji points (T7-T12), Yaoyangguan (GV3), Zusanli (ST36) and Ciliao (BL32).Outcome measures: Motor function ...
Source: Journal of Spinal Cord Medicine - May 23, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Swallowing rehabilitation following spinal injury: A case series.
This study explored viability and outcomes of swallowing rehabilitation programs for four patients with persisting dysphagia.Design: Prospective, quantitative experimental longitudinal case series.Setting: Spinal rehabilitation unit or patients' homes.Interventions: Four patients engaged in a 6-week (3×weekly) individualized progressive rehabilitation program.Outcome measures: Objective videofluoroscopic measures of timing and displacement and a validated self-reported questionnaire - the Eating Assessment Tool (EAT-10) were taken pre-therapy, immediately post-therapy and EAT-10 was repeated at 3 months. Feeling and ...
Source: Journal of Spinal Cord Medicine - May 23, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Wheelchair backs that support the spinal curves: Assessing postural and functional changes.
Conclusions: This pilot study demonstrated that a wheelchair back, which supports the seated spinal curves improves upright posture, functional reach, and wheelchair propulsion skills. Further research is necessary to demonstrate statistical findings as well as to assess back height and lateral support. PMID: 32406808 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 16, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Appraisals of disability and psychological adjustment in veterans with spinal cord injuries.
Authors: Russell M, Ames H, Dunn C, Beckwith S, Holmes SA Abstract Context/Objective: Following a spinal cord injury or disability (SCI/D), cognitive appraisals are a marker of psychological adjustment. The present study evaluated the clinical utility and discriminant validity of the Appraisals of DisAbility Primary and Secondary Scale - Short Form (ADAPSS-sf). The ADAPSS-sf was evaluated on 1. identification of individuals experiencing poor psychological adjustment and 2. prediction of life satisfaction beyond measures of emotional distress.Design: A retrospective study was completed using ROC analyses and od...
Source: Journal of Spinal Cord Medicine - May 16, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Changes in spasticity following functional electrical stimulation cycling in patients with spinal cord injury: A systematic review.
Conclusion: The FES-cycling intervention may reduce the lower extremities spasticity in patients with various injury levels of SCI. It is not a suitable intervention for medically unstable patients or with contraindication for lower extremities movement. Further randomized controlled trials with a large sample size strongly warranted to confirm our findings. PMID: 32406810 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 16, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Epidemiology of non-traumatic spinal cord injury in Ireland - a prospective population-based study.
Conclusions: Incidence of NTSCI is more than double that for traumatic SCI in the Republic of Ireland. This suggests that the delivery of rehabilitation services to patients with spinal cord injuries requires prompt review and expansion. PMID: 32406815 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 16, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Diastolic blood pressure changes during episodes of autonomic dysreflexia.
Conclusion: DBP increments of>10 mmHg with concurrent SBP increases of>20 mmHg occurs in the majority of AD episodes. Given the significance of cardiovascular complications in chronic SCI, further work is warranted to determine the significance of DBP elevations for defining AD. PMID: 32397863 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 15, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Long-term radial extracorporeal shock wave therapy for neurogenic heterotopic ossification after spinal cord injury: A case report.
Conclusion/clinical relevance: Long-term radial extracorporeal shock wave therapy offers a promising therapeutic alternative for neurogenic heterotopic ossification. PMID: 32397914 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 15, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

High incidence of venous thromboembolism after acute cervical spinal cord injury in patients with ossification of the posterior longitudinal ligament.
Conclusions: Patients with OPLL tended to develop VTE after SCI with motor complete and incomplete paralysis. PMID: 32401638 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 15, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Statement of Retraction.
Authors: PMID: 32394807 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 14, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

An unexpected event after deep vein thrombosis in spinal cord injury: Ruptured Baker's cyst.
Conclusion/Clinical Relevance: In this report, we present a case of clinically severe Baker's cyst rupture, which occurred in the lower extremity of a SCI patient using LMWH due to DVT in the same extremity. To our knowledge, no similar cases have been reported. PMID: 32379533 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 9, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Effects of arm cranking exercise on muscle oxygenation between active and inactive muscles in people with spinal cord injury.
Conclusions: These results suggest that sympathetic vasoconstriction occurred in the incomplete SCI and AB, although it did not occur in the complete SCI, probably due to a reduction in sympathetic nerve activity. Sympathetic vasoconstriction in inactive muscles may not contribute to an individual's VO2peak regardless of their group. PMID: 32379545 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 9, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Physical activity and life satisfaction among individuals with spinal cord injury: Exploring loneliness as a possible mediator.
Authors: Santino N, Larocca V, Hitzig SL, Guilcher SJT, Craven BC, Bassett-Gunter RL Abstract Context: There has been no known research investigating the association between leisure time physical activity (LTPA), loneliness, and life satisfaction among people with spinal cord injury or dysfunction (SCI/D). The relationship between these constructs is worthy of consideration given the positive health impacts of LTPA, the negative health impacts of loneliness, and heightened negative effects of loneliness on life satisfaction for individuals with SCI/D.Objectives: To examine the relationship between LTPA and loneline...
Source: Journal of Spinal Cord Medicine - May 9, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Ultrasound-guided platelet-rich plasma injection for the treatment of recalcitrant rotator cuff disease in wheelchair users with spinal cord injury: A pilot study.
The objective of this pilot project was to test the safety and potential treatment effect of an ultrasound-guided PRP injection for shoulder pain in the aforementioned population.Design: Prospective, quasi-experimental.Setting: Clinical research center.Participants: Six wheelchair users with SCI (3 paraplegia, 3 tetraplegia) who had chronic shoulder pain due to rotator cuff disease (presence of anterior shoulder pain, positive physical examination tests for rotator cuff disease, and tendinopathy demonstrated by ultrasound) and failed at least six months of conservative treatment.Interventions: Ultrasound-guided PRP injecti...
Source: Journal of Spinal Cord Medicine - May 9, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

COVID-19 and spinal cord injury professionals: Maintaining a scholarly perspective.
Authors: Thomas FP, Murphy C PMID: 32348205 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - May 1, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Correlation of neurological level and sweating level of injury in persons with spinal cord injury.
Conclusions: Persons with motor complete tetraplegia lack evaporative cooling capacity through SR during passive heat stress predisposing them to HRI. Meanwhile, persons with paraplegia sweat on average 1 dermatomal level below their NLOI. PMID: 32315262 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 22, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Handrim forces during wheelies performance in able-bodied and SCI subjects.
Conclusions: The results showed that the participants with SCI exerted greater PA forces on the handrim, moreover, the direction of force was opposite to that of the AB group, suggesting that the SCI group used a proactive balance strategy while the AB group used a retroactive strategy. The results suggest that the direction of force applied should be considered when teaching individuals to perform wheelies. PMID: 32298220 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Effects of intensity-matched exercise at different intensities on inflammatory responses in able-bodied and spinal cord injured individuals.
Authors: Alves EDS, Dos Santos RVT, de Lira FS, Almeida AA, Edwards K, Benvenutti M, Tufik S, De Mello MT Abstract Objective: To compare the effects of intensity-matched acute exercise at different intensities on proinflammatory and anti-inflammatory cytokines between able-bodied (AB) and spinal cord injured (SCI) individuals.Design: Non-Randomized Controlled Trial.Setting: Community settings in São Paulo - Brazil.Participants: Eight AB and nine SCI paraplegic.Interventions: Participants underwent three exercise sessions at different relative intensities: at ventilatory threshold 1 intensity (VT1), 15% below...
Source: Journal of Spinal Cord Medicine - April 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Late-onset neuromyelitis optica spectrum disorder mimicking stroke in an elderly Chinese man: Case report.
Conclusion: Even in the elderly, a diagnosis of NMOSD should be considered for patients with myelitis, especially those with longitudinally extensive spinal cord involvement. Testing for aquaporin 4 antibody in this scenario is recommended for further confirmation. Once diagnosed, careful consideration of treatment options and close monitoring of side effects are important to improve prognosis in elderly patients. PMID: 32298226 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Exploring the first pressure injury and characteristics of subsequent pressure injury accrual following spinal cord injury.
Conclusion: These findings indicated that individuals with greater sensory and motor loss had an increased risk of developing additional pressure injuries compared to individuals with less impairment. These results are meaningful for stakeholders interested in understanding factors associated with developing subsequent pressure injuries during the index rehabilitation stay and provide a foundation for future research in this area. PMID: 32233917 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 4, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

In utero myelomeningocele repair reduces intensification of inflammatory changes in the dura mater and the skin.
Authors: Pastuszka A, Bohosiewicz J, Olejek A, Zamłyński J, Horzelska E, Koszutski T Abstract Objective: Chemical and mechanical injury in myelomeningocele (MMC) during the fetal life results in functional disorders of multiple organs. Prenatal MMC repair reduces sequelae of spinal cord injury.Design: Histopathological evaluation of dura mater and skin specimens to assess the severity of inflammatory changes.Setting: Histopathological laboratory and operated patients.Participants: 45 cases (Group I)-intrauterine surgery due to MMC and 42 cases (Group II)-postnatal surgery.Outcome measures: Specimens of the skin a...
Source: Journal of Spinal Cord Medicine - April 2, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Radiographic assessment of surgical treatment of post-traumatic syringomyelia.
Conclusion: Current surgical treatment of post-traumatic syringomyelia involves restoration of normal CSF flow dynamics; further prospective work is needed to correlate the clinical state, radiographic measures, and efficacy of surgical intervention. PMID: 32223591 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 2, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The protective effect of betanin and copper on spinal cord ischemia-reperfusion injury.
Conclusion: I/R injury of the spinal cord can be successfully demonstrated by aortic clamping in this surgical model. Betanin/Copper sulphate has ameliorative effects against operative I/R injury. Low toxicity of those agents makes them ideal targets for clinical research for this purpose. PMID: 32223592 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - April 2, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Alteration of cortical but not spinal inhibitory circuits in idiopathic scoliosis.
Conclusion: Our observation demonstrates evidence of central nervous system involvement in adolescent idiopathic scoliosis (AIS). Lower intracortical inhibition, higher motor cortex excitability, and preserved spinal inhibitory circuits are the main findings of this study. A possible explanation of these changes could be attributed to impaired sensorimotor integration predominantly at the cortical level. PMID: 32202478 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Predictive equations over estimating resting metabolic rate in individual with spinal cord injury requiring mechanical ventilation support - A case series.
Conclusion/clinical relevance: There is a high variability of e-RMR and m-RMR in patients with SCI who are dependent on mechanical ventilation. The use of predictive equations may lead to over-estimation of energy requirements. To avoid overfeeding we recommended measuring RMR using IC wherever possible. A further study with a larger sample size is needed due to the small number of subjects in our case-series. Development of a validated RMR equation in the SCI population is warranted. PMID: 32202479 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Impact of long-term epidural electrical stimulation enabled task-specific training on secondary conditions of chronic paraplegia in two humans.
Conclusion: EES optimized for standing and stepping may negatively impact neurogenic bladder functionality. Close monitoring of bladder health is imperative to prevent undesirable bladder compliance, which can lead to upper urinary tract deteriorations. Conversely, EES may serve as an adjunct tool with regular exercise modalities to improve body composition through activation of musculature innervated by spinal segments that are below the SCI. PMID: 32202485 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Metastatic intradural extramedullary spinal cord tumor from ovarian cancer: A case report with a literature review.
Conclusion: Although cases of metastatic intradural extramedullary spinal tumors from ovarian cancer are extremely rare, their possibility should be considered in the differential diagnosis. A history of brain metastases and enhancement on T1-weighted MRI were helpful for making an accurate diagnosis. PMID: 32202486 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Rapid progression of acute cervical syringomyelia: A case report of delayed complications following spinal cord injury.
Conclusions: To our knowledge, this is the first case report to summarize the delayed complications of a spinal cord injury and acute syringomyelia progression to the brainstem in a short period. The symptoms were relieved by an emergency PFD, chosen due to the rapid progression of symptoms. An atypical treatment strategy is described for extremely rare cases, but with a good short-term prognosis. PMID: 32202488 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Epidemiological features of traumatic spinal cord injury in Guangdong Province, China.
Conclusion: The number of TSCI patients in Guangdong Province is large and is exhibiting a rising trend. The leading causes were falls and MVCs. The low-falls (height 
Source: Journal of Spinal Cord Medicine - March 19, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Non-opioid pharmacologic treatment of chronic spinal cord injury-related pain.
Conclusions: The complex clinical situation of each individual patient must be weighed against the risks and benefits of each medication, as reviewed in this paper, to determine the ideal treatment strategy for chronic spinal cord injury-related pain. PMID: 32182196 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 19, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Posterior and anterior epidural and intradural migration of the sequestered intervertebral disc: Three cases and review of the literature.
Conclusion/clinical relevance: Posterior and anterior epidural, and intradural disc migration may manifest with clinical symptoms indistinguishable from those associated with non-sequestered lumbar disc hernias. Missed, migrated disc fragments can be implicated as a cause of low back pain, radiculopathy or cauda equina syndrome, especially in the absence of visible disc herniation. A high index of suspicion needs to be maintained in those cases with unexplained and persistent symptoms and/or no obvious disc herniation on MR images. PMID: 32130089 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - March 6, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Antimicrobial stewardship in spinal cord injury: A multidisciplinary approach.
Authors: Clarke D, Nguyen D, Overton K Abstract Context: In a global environment of escalating antimicrobial resistance and limited new antibiotic development, there is a desire to optimize antibiotic use across all settings to preserve options for the future. Despite this, antibiotics continue to be prescribed inappropriately in many settings. Patients with a spinal cord injury (SCI) are particularly vulnerable to receiving multiple courses of antibiotics, yet there is limited data reviewing antimicrobial stewardship (AMS) programs in this patient population.Hypothesis: Adopting AMS rounds will reduce days of anti...
Source: Journal of Spinal Cord Medicine - February 29, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Neurogenic bowel and bladder evaluation strategies in spinal cord injury: New directions.
Authors: Gater DR PMID: 32105585 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 29, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Recommendations for evaluation of neurogenic bladder and bowel dysfunction after spinal cord injury and/or disease.
Conclusion: There is no one single measure that can be used to assess NBB dysfunction across all clinical research studies. Clinical and diagnostic tools are here recommended based on specific medical needs of the person with SCI/D. Following the CDE for SCI studies guidelines, we recommend both the SF-Qualiveen for bladder and the NBDS for bowel as relatively short measures with strong psychometrics. Other measures are also recommended. A combination of assessment tools (objective and subjective) to be used jointly across the spectrum of care seems critical to best capture changes related to NBB and develop better treatme...
Source: Journal of Spinal Cord Medicine - February 29, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Proteomic insight of seminal plasma in spinal cord injured men submitted to oral probenecid treatment for improved motility.
Conclusion: Oral treatment with probenecid is able to alter the seminal plasma proteome, in pathways that explain decreased innate immune response. PMID: 32043922 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

High tidal volume ventilation is associated with ventilator-associated pneumonia in acute cervical spinal cord injury.
Conclusions: While limited by sample size and selection bias, our data revealed an association between HVtV and increased VAP. Further investigation into optimal early ventilation settings is needed for SCI patients, who are at a high risk of VAP. PMID: 32043943 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Does aerobic exercise benefit persons with tetraplegia from spinal cord injury? A systematic review.
Conclusion: Evidence gathered from this systematic review of literature is inconclusive due to the lack of research focusing on those with tetraplegia. Higher power studies (level 1-3) are needed with the focus on those with tetraplegia. PMID: 32043944 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - February 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Takotsubo cardiomyopathy in a chronic spinal cord injury patient with autonomic dysreflexia: A case report.
Authors: Pollifrone M, Sikka S, Hamilton R Abstract Context: Takotsubo cardiomyopathy (TC) is a transient stress-induced cardiomyopathy with left ventricular dysfunction of unknown etiology. A well accepted theory for the pathophysiology of TC is attributed to a massive catecholamine release [1]. This case report will review a chronic tetraplegia patient who was diagnosed with TC after a severe episode of autonomic dysreflexia (AD). He experiences mild episodes of AD several times a day; however, he had never experienced the severity of symptoms that was associated with this episode which led to his hospitalization...
Source: Journal of Spinal Cord Medicine - February 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Decreasing pressure injuries and acute care length of stay in patients with acute traumatic spinal cord injury.
Authors: Gour-Provencal G, Mac-Thiong JM, Feldman DE, Bégin J, Richard-Denis A Abstract Objectives: Identifying factors associated with the occurrence of pressure injuries (PI) during acute care and with longer length of stay (LOS), focusing on modifiable factors that can be addressed and optimized by the acute rehabilitation team.Design: Prospective cohort study.Setting: A single Level-1 trauma center specialized in SCI care.Participants: A cohort of 301 patients with acute TSCI was studied.Outcome measures: The primary outcome was the occurrence of PI during acute care stay. The secondary outcome was acute...
Source: Journal of Spinal Cord Medicine - February 12, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research