Rau Yannick, Thietje Roland, Matrisch Ludwig, Hirschfeld Sven
Arbeitsgruppe (AG) Forschung (Working Group Research), University of Lübeck, Lübeck, DEU.
Spinal Cord Injury Center, BG Klinikum Hamburg, Hamburg, DEU.
Cureus. 2023 Sep 19;15(9):e45549. doi: 10.7759/cureus.45549. eCollection 2023 Sep.
Objective This study aims to determine and quantify the impairment of cervical mobility and range of motion in patients with traumatic spinal cord injury (SCI) and subsequent cervical subaxial fusion surgery. Methods A total of 89 patients who underwent interbody fusion of the cervical spine and were admitted to the Spinal Cord Injury Center of the BG Klinikum Hamburg, Germany between 2003 and 2018 were examined after their in-facility rehabilitation was successfully completed. Reclination, inclination, tilt, and rotation of the cervical spine were examined and documented in addition to overall patient characteristics and fusion extent. Results We could identify fusion length and age to be independently negatively correlated with the cervical range of motion in different degrees of movement. We could also show a significant decrease in cervical mobility within our patients when compared to healthy adults. The ability to tilt and rotate the cervical spine was particularly impaired. Conclusions Patients with traumatic SCI and intervertebral fusion suffer from significant impairment of mobility in different degrees of movement. This knowledge can be used to evaluate the rehabilitative challenges and reintegrative needs of individuals after traumatic SCI. Rehabilitation should be adjusted accordingly.
目的 本研究旨在确定并量化创伤性脊髓损伤（SCI）患者及随后接受颈椎下融合手术患者的颈椎活动度和活动范围的损伤情况。方法 对2003年至2018年间在德国汉堡BG Klinikum脊髓损伤中心接受颈椎椎间融合手术且成功完成院内康复治疗的89例患者进行检查。除了记录患者的总体特征和融合范围外，还对颈椎的后伸、前屈、侧屈和旋转情况进行了检查和记录。结果 我们发现融合长度和年龄在不同程度的活动中与颈椎活动范围呈独立负相关。与健康成年人相比，我们的患者颈椎活动度也显著降低。颈椎的侧屈和旋转能力尤其受损。结论 创伤性SCI和椎间融合患者在不同程度的活动中存在显著的活动度损伤。这一认识可用于评估创伤性SCI患者康复面临的挑战和重新融入社会的需求。康复治疗应据此进行调整。
