Acta Ortopédica Mexicana

Martínez-Padilla LA, Dufoo-Olvera M, García-López OF, López-Palacios JJ, Carranco-Toledo GA, Aburto-Trejo JA
Neurologic changes in patients with traumatic cord lesion based in the analysis of the sequential clinical history
Acta Ortop Mex 2008; 22 (6)

Language: Español
References: 20
Page: 374-383
PDF: 451.54 Kb.

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Objective: To determine changes in neurological status in patients with traumatic cord lesions before and after surgical treatment. Material and methods: We conducted a descriptive cohort study, and measured 61 points of neurologic evaluation (sensory, motor, reflexes) of the Sequential Clinical History. Results: We studied 28 patients with complete cord lesion (ASIA A) and 16 with incomplete cord lesions (9 ASIA B, 4 ASIA C, and 3 ASIA D). In the patients classified as ASIA-A, twenty-six did not change, and 2 had improvement in one neurologic level (sensory). In ASIA-B patients, four remained with no changes, and in 5 the lesion improved. The four patients with type C lesion, improved. All patients with ASIA-D, improved to ASIA-E. Conclusion: In patients with complete cord lesions (ASIA-A) and the worst prognosis, we did not find improvement in neurologic lesion. In incomplete cord injuries, improvement was variable, and it was more prevalent in preoperative period.

Key words: neurologic exam, spinal cord lesions.