ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016
Preexisting severe cervical spinal cord compression is a significant risk factor for severe paralysis development in patients with traumatic cervical spinal cord injury without bone injury: a retrospective cohort study.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 22 citations in OpenAlex.
- Prognostic influences and prediction model construction for traumatic cervical spinal cord injury.Frontiers in neurology · 2025Article
- Management of Cervical Spinal Cord Injury without Major Bone Injury in Adults.Journal of clinical medicine · 2023Review
- Posterior Hybrid Technique for the Treatment of Traumatic Cervical Spinal Cord Injury with High Signal Intensity on T2WI.Indian journal of orthopaedics · 2023Article
- Article
- Substantial Atrophy of the Psoas Muscle as Late Sequela of L2 Osteoporotic Fracture: a Case Report.Maedica · 2021Article
- Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review.Molecular and clinical oncology · 2021Article
- The biomechanical effect of preexisting different types of disc herniation in cervical hyperextension injury.Journal of orthopaedic surgery and research · 2021Article
- A nationwide survey on the incidence and characteristics of traumatic spinal cord injury in Japan in 2018.Spinal cord · 2021Article
- An epidemiological study of traumatic spinal cord injuries in the fastest aging area in Japan.Spinal cord · 2019Article
- Clinical outcomes of late decompression surgery following cervical spinal cord injury with pre-existing cord compression.Spinal cord · 2018Article
- Promotion of neuronal regeneration by using self-polymerized dendritic polypeptide scaffold for spinal cord tissue engineering.Journal of materials science. Materials in medicine · 2017Article
- A prospective serial MRI study following acute traumatic cervical spinal cord injury.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe objective of this study is to investigate whether preexisting severe cervical spinal cord compression affects the severity of paralysis once patients develop traumatic cervical spinal cord injury (CSCI) without bone injury.
methodsWe retrospectively investigated 122 consecutive patients with traumatic CSCI without bone injury. The severity of paralysis on admission was assessed by the American Spinal Injury Association impairment scale (AIS). The degree of preexisting cervical spinal cord compression was evaluated by the maximum spinal cord compression (MSCC) and was divided into three categories: minor compression (MSCC ≤ 20 %), moderate compression (20 % < MSCC ≤ 40 %), and severe compression (40 % < MSCC). We investigated soft-tissue damage on magnetic resonance imaging to estimate the external force applied. Other potential risk factors, including age, sex, fused vertebra, and ossification of longitudinal ligament, were also reviewed. A multivariate logistic regression analysis was performed to investigate the risk factors for developing severe paralysis (AIS A-C) on admission.
resultsOur study included 103 males and 19 females with mean age of 65 years. Sixty-one patients showed severe paralysis (AIS A-C) on admission. The average MSCC was 22 %. Moderate compression was observed in 41, and severe in 20. Soft-tissue damage was observed in 91. A multivariate analysis showed that severe cervical spinal cord compression significantly affected the severity of paralysis at the time of injury, whereas both mild and moderate compression did not affect it. Soft-tissue damage was also significantly associated with severe paralysis on admission.
conclusionsPreexisting severe cervical cord compression is an independent risk factor for severe paralysis once patients develop traumatic CSCI without bone injury.
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