Servicio de Rehabilitacion, Hospital Universitari I Politècnic La Fe from Valencia. Spinal Cord Injury Unit, Valencia, Spain.
Spinal Cord. 2011 Dec;49(12):1188-92. doi: 10.1038/sc.2011.72. Epub 2011 Jul 26.
Retrospective descriptive observational study.
The primary objective of this study was to quantify the incidence of iatrogenic spinal cord injury (SCI) at our SCI unit (SCIU). The secondary objective was to discover the surgical and medical procedures that cause iatrogenic SCI and to estimate the incidence with each procedure.
Patients admitted to or seen at outpatient services of the SCIU at a university hospital.
Histories were compiled from 1 July 2005 to 30 June 2009. We included patients with SCI caused by any medical or surgical procedure. We collected age, sex, diagnosis leading to medical intervention, predominant clinical manifestations, medical-surgical procedure and level and grade of injury upon admission and discharge.
Out of 250 patients admitted to the SCIU, 32 (14.7%) patients presented iatrogenic SCI. Average age was 56.2 (s.d. 17.3), ranging from 0 to 82 years old. The most frequent clinical manifestation was pain. The most common diagnosis was channel stenosis. Lumbar level grade C of American Spine Injury Association (ASIA) was the most frequently observed.
The rise in the population's life expectancy entails an increase in elderly patients with vascular risk factors, who underwent invasive interventions leading to spinal cord iatrogenia.
回顾性描述性观察研究。
本研究的主要目的是量化我们的脊髓损伤单位（SCIU）发生医源性脊髓损伤（SCI）的发生率。次要目的是发现导致医源性 SCI 的手术和医疗程序，并估计每种程序的发生率。
在大学医院的 SCIU 门诊就诊或接受治疗的患者。
病史记录时间为 2005 年 7 月 1 日至 2009 年 6 月 30 日。我们纳入了因任何医疗或手术程序导致脊髓损伤的患者。我们收集了年龄、性别、导致医疗干预的诊断、主要临床表现、医疗手术程序以及入院和出院时的损伤水平和程度。
在 250 名入住 SCIU 的患者中，有 32 名（14.7%）患者出现医源性 SCI。平均年龄为 56.2（标准差 17.3），年龄范围为 0 至 82 岁。最常见的临床表现是疼痛。最常见的诊断是通道狭窄。美国脊柱损伤协会（ASIA）的腰椎 C 级是最常见的观察结果。
随着人口预期寿命的延长，患有血管危险因素的老年患者增加，他们接受了导致脊髓医源性损伤的侵入性干预。
