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Status: Bibliographieeintrag

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Verfasst von:Putz, Cornelia [VerfasserIn]   i
 Schuld, Christian [VerfasserIn]   i
 Akbar, Michael [VerfasserIn]   i
 Grieser, Thomas [VerfasserIn]   i
 Wiedenhöfer, Bernd [VerfasserIn]   i
 Fürstenberg, Carl Hans [VerfasserIn]   i
 Gerner, Hans-Jürgen [VerfasserIn]   i
 Rupp, Rüdiger [VerfasserIn]   i
Titel:Neurological and functional recovery in multiple injured patients with paraplegia
Titelzusatz:outcome after 1 year
Verf.angabe:Cornelia Putz, MD, Christian Schuld, MS, Michael Akbar, MD, Thomas Grieser, MD, Bernd Wiedenhöfer, MD, Carl Hans Fürstenberg, MD, Hans Jürgen Gerner, MD, PhD, and Rüdiger Rupp, PhD
E-Jahr:2011
Jahr:May 1, 2011
Umfang:8 S.
Fussnoten:Gesehen am 20.01.2023
Titel Quelle:Enthalten in: The journal of trauma
Ort Quelle:Hagerstown, Md. : Lippincott Williams & Wilkins, 1961
Jahr Quelle:2011
Band/Heft Quelle:70(2011), 5, Seite 1078-1085
ISSN Quelle:1529-8809
Abstract:BACKGROUND: Injuries of thoracic vertebrae in multiple trauma patients are often accompanied by severe thoracic injuries and sensorimotor deficits. However, until now, it is not clear whether and how the severity of trauma influences the neurologic and functional outcome in paraplegic patients during the first year after the trauma. The aim of the study was to compare two cohorts of multiple injured paraplegic patients with and without conversion in the American Spinal Injury Association Impairment Scale (AIS) with regard to the severity of spinal trauma, the severity of thorax trauma, the type of fracture, and the functional outcome 1 year after the date of injury. - METHODS: Twenty-one traumatic paraplegic patients (neurologic level T1-T12) were included in the study based on a retrospective analysis of the Heidelberg European Multicenter Study about Spinal Cord Injury database (www.emsci.org) from 2002 to 2007. In all patients, the Polytraumaschluessel (PTS), the AO classification, the AIS, and the Spinal Cord Independence Measure were collected. Patients with no change in the AIS (group 1, n=14) were compared with patients with AIS changes (group 2, n=7), and t test and χ test were performed (p<0.05). - RESULTS: Differences in both groups concerning fracture classification were confirmed (p=0.046). A relation between neurologic improvement in the AIS and the severity of trauma (p=0.058) after 1 year was not found. The subitem PTST in the thoracic area showed statistical significance comparing the two groups (p=0.005). Both groups significantly improved functionally (Spinal Cord Independence Measure, p=0.035) during the first year but with no significant difference between the groups after 1 year. - CONCLUSIONS: Our data suggest that functional improvement is achieved independently from neurologic recovery. The combined assessment of the PTS, the AO classification, and the AIS in multiple-injured paraplegic patients can contribute to provide a better prognostication of the neurologic changes during rehabilitation and the outcome after 1 year than the AIS alone.
DOI:doi:10.1097/TA.0b013e3181e73fa0
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1097/TA.0b013e3181e73fa0
 DOI: https://doi.org/10.1097/TA.0b013e3181e73fa0
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adolescent
 Adult
 Cervical Vertebrae
 Female
 Follow-Up Studies
 Humans
 Injury Severity Score
 Male
 Middle Aged
 Multiple Trauma
 Paraplegia
 Recovery of Function
 Retrospective Studies
 Spinal Cord
 Spinal Cord Injuries
 Thoracic Vertebrae
 Time Factors
 Young Adult
K10plus-PPN:1831610477
Verknüpfungen:→ Zeitschrift

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