From the Department of Orthopedic Surgery, King Abdulaziz Medical City, Central Region (AIEissa, Konbaz, Abalkhail, AIHelal, AINaqa); College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (AIEissa, Konbaz, AIHumaid, AIMutlaq); and the Department of Biostatistics and Bioinformatics, King Abdullah International Medical Research Center (Shaheen).
J Am Acad Orthop Surg Glob Res Rev. 2022 Aug 11;6(8). doi: 10.5435/JAAOSGlobal-D-22-00066. eCollection 2022 Aug 1.
The incidence of nontraumatic spinal cord injury (NTSCI) is reported to be higher than that of traumatic spinal cord injury in many countries, making it an area of growing significance.
With the aging of the global population in coming decades, it is anticipated that the incidence of NTSCIs will increase dramatically. Our aim was to identify and report the causes, patterns, and outcomes of NTSCI in a tertiary care center.
We have reviewed all adult patients who had a NTSCI and were surgically treated with a minimum follow-up of 12 months postoperatively. Demographic and clinical data were collected. Preoperative and postoperative American Spinal Injury Association (ASIA) impairment scales and past follow-up outcomes were assessed.
Of 164 patients, 95 (58%) had full recovery and reached ASIA E score at their last follow-up while 69 (42%) were not able to achieve full recovery till ASIA E score. Urinary incontinence and/or bowel incontinence on admission, degenerative pathologies, and thoracic injury level were all notable indicators of limited ASIA score improvement at the last follow-up.
Surgically treated NTSCI could result in good neurological recovery with a low complication rate.
在许多国家，非外伤性脊髓损伤（NTSCI）的发病率高于外伤性脊髓损伤，因此这一领域的重要性日益增加。
随着未来几十年全球人口老龄化，预计 NTSCI 的发病率将大幅上升。我们的目的是确定和报告一家三级护理中心 NTSCI 的病因、类型和结果。
我们回顾了所有接受手术治疗且术后随访至少 12 个月的成年 NTSCI 患者。收集了人口统计学和临床数据。评估了术前和术后美国脊髓损伤协会（ASIA）损伤量表以及过去的随访结果。
在 164 名患者中，95 名（58%）在最后一次随访时完全康复并达到 ASIA E 级评分，而 69 名（42%）未能达到 ASIA E 级评分的完全康复。入院时存在尿失禁和/或大便失禁、退行性病变和胸段损伤水平均是最后随访时 ASIA 评分改善有限的显著指标。
手术治疗的 NTSCI 可导致良好的神经功能恢复，并发症发生率低。
