19 Harley St, London, W1G 9QJ, UK

Evolution of spinal cord injuries due to cervical canal stenosis without radiographic evidence of trauma (SCIWORET): a prospective study

BACKGROUND: Traumatic spinal cord injuries on cervical canal stenosis represent a steadily increasing pathology, of which clinical and functional outcomes remain largely unknown. MATERIAL AND METHODS: We present the results of a prospective study of 20 patients followed for one year who had presented with traumatic spinal cord injury involving initially acute neurological symptoms and cervical canal stenosis defined in the imaging by a Torg ratio<0.8 and a medullary canal ratio>0.65, without vertebral fracture. RESULTS: Traumatic spinal cord injuries on cervical canal stenosis are caused mainly by falls in the elderly population and by unsafe behaviour among younger subjects. Most of the patients present with initially incomplete tetraplegia, and two thirds have centromedullary syndrome. Association of complete tetraplegia with advanced age would seem to be a predictive factor of death in the early post-traumatic period. For incomplete tetraplegics, the main phase of neurological and functional recovery is observed over the first six months. Radiological data and timing of surgery do not appear to affect the prognosis. CONCLUSION: This study underlines the need for individualized specialized care of patients with spinal cord injuries on cervical canal stenosis, particularly according to their demographic and lesional characteristics

Keywords : Accidental Falls,Adult,Aged,Aged,80 and over,blood supply,Brown-Sequard Syndrome,Cervical Vertebrae,complications,diagnostic imaging,Diving,epidemiology,etiology,Female,Humans,injuries,Ischemia,Magnetic Resonance Imaging,Male,methods,Middle Aged,mortality,Neck Injuries,pathology,Patients,Prognosis,Prospective Studies,Quadriplegia,Radiography,Recovery of Function,rehabilitation,Severity of Illness Index,Spinal Cord,Spinal Cord Compression,Spinal Cord Injuries,Spinal Stenosis,surgery,Switzerland,Syndrome,Treatment Outcome,, Spinal,Cord,Injuries,Due, london private clinic

Date of Publication : 2011 Jun

Authors : Lamothe G;Muller F;Vital JM;Goossens D;Barat M;

Organisation : Service de paraplegie, clinique romande de readaptation, Sion, Switzerland. gaelle.lamothe@crr-suva.ch

Journal of Publication : Ann Phys Rehabil Med

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21420922

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Lumbar synovial cysts | Reflexology in london

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810