Department of Neurological Physical Medicine and Rehabilitation, St Jacques Hospital, University Hospital of Nantes, 85, rue st Jacques, 44093 Nantes cedex 01, France.
Department of Neurological Physical Medicine and Rehabilitation, St Jacques Hospital, University Hospital of Nantes, 85, rue st Jacques, 44093 Nantes cedex 01, France.
Rev Neurol (Paris). 2021 May;177(5):594-605. doi: 10.1016/j.neurol.2021.02.385. Epub 2021 Apr 27.
Spinal cord injury (SCI) is a complex disease that affects not only sensory and motor pathways below the neurological level of injury (NLI) but also all the organs and systems situated below this NLI. This multisystem impairment implies comprehensive management in dedicated SCI specialized centers, by interdisciplinary and multidisciplinary teams, able to treat not only the neurological impairment, but also all the systems and organs affected. After a brief history of the Spinal Cord Medicine, the author describes how to determine the level and severity of a SCI based on the International Standards for Neurological Classification of Spinal Cord Injury and the prognosis factors of recovery. This article provides also a review of the numerous SCI-related impairments (except for urinary, sexual problems and pain treated separately in this issue), their principles of management and related complications.
脊髓损伤（SCI）是一种复杂的疾病，不仅影响损伤以下的感觉和运动通路（NLI），还影响所有位于 NLI 以下的器官和系统。这种多系统损伤意味着需要在专门的 SCI 中心由跨学科和多学科团队进行全面管理，不仅要治疗神经损伤，还要治疗所有受影响的系统和器官。在简要介绍脊髓医学的历史之后，作者描述了如何根据国际脊髓损伤神经分类标准和恢复的预后因素来确定 SCI 的程度和严重程度。本文还回顾了许多与 SCI 相关的损伤（除了在本期中单独治疗的尿、性问题和疼痛），以及它们的管理原则和相关并发症。
