Kirshblum S C, O'Connor K C
Kessler Institute for Rehabilitation, West Orange, NJ, USA.
Arch Phys Med Rehabil. 1998 Nov;79(11):1456-66. doi: 10.1016/s0003-9993(98)90244-1.
Traumatic spinal cord injury (SCI) affects 8,000 to 10,000 individuals per year in the United States. One of the most difficult tasks confronting the clinician is the discussion of neurologic recovery and prognosis with the patient and/or family. Our objective is to provide a guide for practitioners to accurately predict neurologic outcome in acute traumatic cervical SCI (tetraplegia).
Published reports obtained through MEDLINE search, texts, and studies presented at national conferences.
Peer reviewed studies, in English language, that discussed prognosis after traumatic SCI.
A comprehensive physical examination of the acute SCI patient is essential in determining the initial level and classification of the injury and is the most accurate method to predict neurologic recovery. Other diagnostic tests, including somatosensory evoked potentials, magnetic resonance imaging, and transcranial magnetic stimulation, may be helpful in further determining outcome when used in association with the clinical examination. The understanding of neurologic recovery should help predict ultimate functional capability and potential needs.
在美国，创伤性脊髓损伤（SCI）每年影响8000至10000人。临床医生面临的最困难任务之一是与患者和/或家属讨论神经功能恢复和预后。我们的目的是为从业者提供一个指南，以准确预测急性创伤性颈髓损伤（四肢瘫）的神经功能结局。
通过医学文献数据库检索获得的已发表报告、教科书以及在全国会议上展示的研究。
经同行评审的英文研究，这些研究讨论了创伤性脊髓损伤后的预后。
对急性脊髓损伤患者进行全面的体格检查对于确定损伤的初始水平和分类至关重要，并且是预测神经功能恢复的最准确方法。其他诊断测试，包括体感诱发电位、磁共振成像和经颅磁刺激，与临床检查联合使用时可能有助于进一步确定结局。对神经功能恢复的理解应有助于预测最终的功能能力和潜在需求。
