Lafeuillee Gisele, Desai Manish, Magni Francesco, Knight Sarah
London Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Stanmore, UK.
University College London Medical School, London, UK.
J Spinal Cord Med. 2024 May;47(3):432-439. doi: 10.1080/10790268.2022.2097997. Epub 2022 Oct 19.
CONTEXT /OBJECTIVE: Metastatic Spinal Cord Compression (MSCC) is a devastating complication of cancer, affecting approximately 3000 patients per annum in England. However, access to rehabilitation services for MSCC patients is limited. The London Spinal Cord Injury Centre has set up a bespoke MSCC rehabilitation pathway from May 2013. This article aims to describe the clinical features and functional outcomes of patients with MSCC admitted to a Specialist Spinal Cord Injury Rehabilitation Centre between May 2013 and December 2021.
Retrospective analysis of medical records from a single specialist rehabilitation centre database.
London Spinal Cord Injury Centre (LSCIC), Stanmore, United Kingdom.
Adult patients diagnosed with MSCC who were admitted to and discharged from LSCIC from May 2013 to December 2021.
Specialist Inpatient Spinal Cord Injury Rehabilitation Program.
Spinal Cord Independence Measure 19 (SCIM version III), Discharge Destination.
A total of 40 patients with MSCC were admitted - 32 male and 8 female patients. The average length of stay was 6 weeks. 17(42.5%) patients had primary prostate cancer. Most patients (34(85%)) had thoracic MSCC. There was an improvement in the Spinal Cord Independence Measure in all patients with an average significant improvement from 43.8 to 64.5 (P < 0.001). There was no significant difference in SCIM scores between patients under 65 and over 65. 28 (70%) patients required psychological input. 33(82.5%) patients were discharged home.
Patients with MSCC show improvement in SCIM outcome measures after a six-week inpatient Specialist Spinal Rehabilitation program.
背景/目的：转移性脊髓压迫症（MSCC）是癌症的一种严重并发症，在英国每年约影响3000名患者。然而，MSCC患者获得康复服务的机会有限。伦敦脊髓损伤中心自2013年5月起设立了一条定制的MSCC康复路径。本文旨在描述2013年5月至2021年12月期间入住专科脊髓损伤康复中心的MSCC患者的临床特征和功能结局。
对单一专科康复中心数据库中的病历进行回顾性分析。
英国斯坦莫尔的伦敦脊髓损伤中心（LSCIC）。
2013年5月至2021年12月期间入住LSCIC并出院的成年MSCC诊断患者。
专科住院脊髓损伤康复计划。
脊髓独立性评定量表19（SCIM第三版）、出院去向。
共收治40例MSCC患者，其中男性32例，女性8例。平均住院时间为6周。17例（42.5%）患者患有原发性前列腺癌。大多数患者（34例，85%）患有胸段MSCC。所有患者的脊髓独立性评定量表均有改善，平均显著改善从43.8提高到6
