Waters R L, Sie I, Adkins R H, Yakura J S
Rancho Los Amigos Medical Center Downey, CA 90242, USA.
Paraplegia. 1995 Feb;33(2):98-101. doi: 10.1038/sc.1995.23.
A prospective multicenter study was conducted by centers participating in the National Model Spinal Cord Injury System program to examine neurological deficit and recovery patterns following spinal cord injury (SCI) resulting from stab wounds. Thirty two patients were evaluated. Sixty three percent presented with motor incomplete lesions on initial examination. In addition, four of seven who initially presented with motor complete paraplegia were motor incomplete at follow-up. Furthermore, 50% of those with motor incomplete lesions had asymmetrical motor patterns indicative of a Brown-Séquard Syndrome. Although the percentage of patients sustaining an incomplete SCI injury following a stab injury to the spine is higher than the percentage of incomplete lesions associated with other etiologies, the amount of motor recovery when controlling for level and completeness of injury is no greater than previously reported for other etiologies.
参与国家脊髓损伤示范系统项目的多个中心开展了一项前瞻性多中心研究，以检查刺伤导致的脊髓损伤（SCI）后的神经功能缺损和恢复模式。对32例患者进行了评估。63%的患者在初次检查时表现为运动不完全损伤。此外，最初表现为运动完全性截瘫的7例患者中有4例在随访时运动不完全。此外，50%的运动不完全损伤患者具有不对称运动模式，提示为布朗-塞卡尔综合征。尽管脊柱刺伤后发生不完全性SCI损伤的患者比例高于其他病因相关的不完全损伤比例，但在控制损伤水平和完整性时，运动恢复量并不比先前报道的其他病因更大。
