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

Hemostatic parameters in patients with spinal cord injury in subacute and chronic phase of the rehabilitation.
Authors: Mackiewicz-Milewska M, Kroszczynski A, Cisowska-Adamiak M, Pyskir J, Rosc D, Hagner W Abstract Objective: The goal of this study was to measure hemostatic markers after SCI.Design: Assesing changes in coagulation and fibrynilitic system in SCI patients in different time post injury to Cross-sectional study.Setting: Rehabilitation Department of the Bydgoszcz University Hospital, Poland from 2011 to 2017.Participants: SCI patient during acute and chronic rehabilitation (N = 88).Outcome Measures: Assesing following parameters: platelet counts and levels of D-dimer, antithrombin III (ATIII), tiss...
Source: Journal of Spinal Cord Medicine - February 6, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

A single-blind randomized control trial of trigonal versus nontrigonal Botulinum toxin-A injections for patients with urinary incontinence and poor bladder compliance secondary to spinal cord injury.
Authors: Chen H, Xie K, Jiang C Abstract Objective: To evaluate the effect of trigonal Botulinum toxin-A (BTX-A) injections on patients with urinary incontinence (UI) and poor bladder compliance (BC) secondary to spinal cord injury (SCI).Design: A single-blind randomized control trial.Setting: Department of urology in three hospitals.Participants: SCI patients with UI and poor BC were randomly assigned to either the experimental group or the control group.Interventions: The experimental group received an injection of 240 U BTX-A into the detrusor plus 60 U BTX-A into the trigone, while the control group received 30...
Source: Journal of Spinal Cord Medicine - February 2, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Perceived sleep problems after spinal cord injury: Results from a community-based survey in Switzerland.
Conclusion: Individuals with SCI experience more sleep problems compared to the Swiss GP. Findings from this study suggest that clinical screening for sleep issues targeting high risk groups is needed to reduce the large prevalence of non-treatment in individuals with SCI. PMID: 31977291 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 26, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Integrating Spinal Cord Injury - Quality of Life instruments into rehabilitation: Implementation science to guide adoption of patient-reported outcome measures.
Conclusions: Clinicians acknowledge the value of patient-reported outcome measures in inpatient SCI rehabilitation, but noted barriers to adoption. Engaging clinicians in the decision-making process for developing an implementation and administration protocol can inform strategies to overcome barriers and emphasize supports. PMID: 31971479 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Electrically induced cycling and nutritional counseling for counteracting obesity after spinal cord injury: A pilot study.
Conclusion: The statistically significant decrease in body fat percentage for the FES & Nutri group provides evidence that further study is merited. Future studies should include larger numbers of participants and the possible introduction of a preliminary strengthening program before initiating interval FES cycling. In addition, an increase in exercise volume and a greater role for nutritional counseling should be considered in order to optimize the treatment for obesity. PMID: 31971487 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 25, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Multiple family group intervention for spinal cord injury: Quantitative and qualitative comparison with standard education.
Conclusions: Relative to EC, MFG assisted participants with SCI and their caregivers to manage the difficult, long-term, life adjustments by improving coping and strengthening social support.Trial registration: ClinicalTrials.gov NCT02161913. Registered 10 June 2014. PMID: 31961284 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 23, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Traumatic spinal cord injury mortality from 2006 to 2016 in China.
Conclusions: TSCI mortality rates were higher in males and in rural residents than in females and in urban residents during the study time period. TSCI mortality increased quickly as age increased; adults aged 65 years and older had the highest mortality rate. Falls and motor vehicle crashes were the two most common causes of TSCI mortality. More prevention efforts are needed to reduce a number of deaths from TSCI injury considering a substantial increase in TSCI mortality. PMID: 31944926 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Spinal cord hemodynamic infarction after vertebral artery endovascular trapping despite preserved flow in the anterior spinal artery.
We present the case of a 66-year-old woman who developed weakness on all four extremities and thermalgesic sensory deficit following an elective endovascular embolization of an incidentally diagnosed aneurysm in the posterior circulation. The procedure involved the cathetherization of both vertebral arteries, but was unremarkable and the flow into the anterior spinal artery was preserved. Radiological findings highly suggested a spinal cord infarction. She was started on corticosteroids and showed a significant neurological improvement.Clinical relevance: The present case illustrates that spinal cord infarction is a typica...
Source: Journal of Spinal Cord Medicine - January 18, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Reviewer Recognition 2019.
Authors: PMID: 31935169 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 16, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Care and research for spinal cord injury: A changing landscape.
Authors: Thomas FP, Murphy C PMID: 31935170 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 16, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

What is the best treatment option for cervical spinal cord injury by os odontoideum in a patient with athetoid dystonic cerebral palsy?
Conclusion: Intensive rehabilitation programs are important for the recovery and good prognosis in spinal cord injury patients. However, rehabilitation of CP patients with spinal cord injury is often neglected. We provided intensive rehabilitation therapy to a patient for a cervical spinal cord injury by OO with athetoid dystonic cerebral palsy and achieved neurological and functional recovery. PMID: 31916917 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - January 10, 2020 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The impact of level of injury on patterns of cognitive dysfunction in individuals with spinal cord injury.
Conclusion: Individuals with SCI may display different patterns of cognitive performance based on their level of injury. PMID: 31859606 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 21, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Comparing 4- and 6-week post-flap protocols in patients with spinal cord injury.
Conclusions: The 6-week protocol was not associated with improved remobilization outcomes (reduced rates of dehiscence or surgical revisions), and the 4-week protocol resulted in a significantly shorter time to remobilization to sitting for 2 h as well as a shorter length of stay. We did not identify any subgroup of patients that benefited from the longer protocol. PMID: 31859608 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 21, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Spinal cord injury providers' perspectives on managing sublesional osteoporosis.
Conclusion: Providers described a lack of evidence for screening and management of patients with SCI and osteoporosis. Future efforts should include developing evidence-informed guidelines to aid providers in osteoporosis management. PMID: 31859610 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 21, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Intrathecal baclofen as emergency treatment alleviates severe intractable autonomic dysreflexia in cervical spinal cord injury.
Conclusion/Clinical Relevance: The case demonstrated that refractory AD could be managed with ITB in an emergency. PMID: 31815605 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 10, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Assessment of the neuroprotective effects of (-)-epigallocatechin-3-gallate on spinal cord ischemia-reperfusion injury in rats.
Conclusion: The results suggest that pre- and post-treatment with EGCG may be effective in protecting spinal cord from IRI. PMID: 31809244 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 7, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Safety and preliminary efficacy of functional electrical stimulation cycling in an individual with cervical cord injury, autonomic dysreflexia, and a pacemaker: Case report.
Conclusion/Clinical Relevance: A person with cervical SCI, symptomatic AD, and a non-dependent pacemaker can safely participate and benefit from the interval-FES cycling program provided adequate monitoring of symptoms and vital signs. PMID: 31809247 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 7, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The anterior versus posterior approach for the treatment of ossification of the posterior longitudinal ligament in the cervical spine: A systematic review and meta-analysis.
Conclusion: The anterior approach is superior to the posterior approach in terms of the postoperative final JOA score, functional recovery rate, and clinical outcomes. Although the complication and reoperation rates of the anterior approach are higher than those of the posterior approach. We recommend the anterior approach for the treatment of OPLL when patients with occupying ratio ≥ 60%. In addition, high-quality studies with long-term follow-up and large sample size are also needed. PMID: 31809249 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 7, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Digital rectal stimulation as an intervention in persons with spinal cord injury and upper motor neuron neurogenic bowel. An evidenced-based systematic review of the literature.
Conclusion: There is insufficient evidence to promote any one intervention for the management of UMN-NB. The promotion of DRS, and education as to the proper technique for DRS should remain an emphasis of education of home management of UMN-NB in persons with SCI. Future research should focus on the use of standardized, validated tools to evaluate management techniques for UMN-NB. PMID: 31809250 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 7, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Restoration of cough via spinal cord stimulation improves pulmonary function in tetraplegics.
Authors: DiMarco AF, Geertman RT, Tabbaa K, Nemunaitis GA, Kowalski KE Abstract Background: Spinal cord injury (SCI) results in significant loss in pulmonary function secondary to respiratory muscle paralysis. Retention of secretions and atelectasis and, recurrent respiratory tract infections may also impact pulmonary function.Objective: To determine whether usage of lower thoracic spinal cord stimulation (SCS) to restore cough may improve spontaneous pulmonary function in individuals with chronic SCI.Design/Methods: 10 tetraplegics utilized SCS system on a regular daily basis. Spontaneous inspiratory capacity (IC)...
Source: Journal of Spinal Cord Medicine - December 7, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Is the anterior spinal artery occluded in severe cervical compressive myelopathy?
Conclusion: ASA occlusion was not observed in CCM patients with spinal canal sagittal diameter compression of more than 80%. PMID: 31791211 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 4, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Psychological factors and risk of mortality after spinal cord injury.
Conclusions: Rehabilitation professionals have a central role in promoting purpose in life as a means of increasing longevity. By assessing personality factors predictive of specific causes of mortality, those at risk may be targeted for cause-specific prevention strategies. PMID: 31794353 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - December 4, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

The impact of body mass index on one-year mortality after spinal cord injury.
Conclusion: People with obesity who incur an SCI need special attention to prevent early mortality. Future studies should explore factors that contribute to such a higher mortality after SCI, such as preexisting conditions and comorbidities. The effects of BMI on long-term mortality also deserve further investigation. PMID: 31729925 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - November 19, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Ultrasonographic evaluation of diaphragm thickness and excursion in patients with cervical spinal cord injury.
Authors: Zhu Z, Li J, Yang D, Gao F, Du L, Yang M Abstract Objective: To evaluate the diaphragm thickness and excursion in patients with cervical spinal cord injury and reliability of diaphragmatic ultrasonography.Design: A Pilot Case-Control Study.Setting: China Rehabilitation Research Center (CRRC) /Beijing BO AI Hospital.Participants: Sixty participants with cervical spinal cord injury and sixty control participants were eligible for inclusion in this study.Interventions: Ultrasonographic evaluation of the diaphragm.Outcome Measures: All demographic data were evaluated. Diaphragm thickness, thickening ratio, and...
Source: Journal of Spinal Cord Medicine - November 14, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Physiological distribution of 18F-FDG in the spinal cord: A systematic review.
Conclusions: On 18F-FDG PET/CT imaging, focal hypermetabolism of the spinal cord at the level of lower thoracic and lower cervical vertebrae should be considered physiological until proven otherwise. PMID: 31682787 [PubMed - as supplied by publisher] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - November 6, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Novel approaches to clinical practice: ASCIP's 2019 award-winning posters.
Authors: Thomas FP, Murphy C PMID: 31661669 [PubMed - in process] (Source: Journal of Spinal Cord Medicine)
Source: Journal of Spinal Cord Medicine - October 31, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research

Relationships between T-scores at the hip and bone mineral density at the distal femur and proximal tibia in persons with spinal cord injury.
Authors: Cirnigliaro CM, Parrott JS, Myslinski MJ, Asselin P, Lombard AT, La Fountaine MF, Kirshblum SC, Forrest GF, Dyson-Hudson T, Spungen AM, Bauman WA Abstract Objective: To identify T-score values at the total hip (TH) and femoral neck (FN) that correspond to the cutoff value of
Source: Journal of Spinal Cord Medicine - October 31, 2019 Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research