GET THE APP

Spinal Cord Injury Rehabilitation |
..

Open Access

Spinal Cord Injury Rehabilitation

Case Report

Pages: 1 - 3

Acute Paraspinal Compartment Syndrome Related to Use of Proprietary Weight Loss Product, by a Patient with Sodium Channelopathy

Jenny L Lauschke and Gabor Major

DOI:

DOI: 10.4172/2165-7939.S7-001

Paraspinal compartment syndrome is a rare cause of lower back pain that remains under-recognized and under-treated and which can result in prolonged and debilitating pain. We present the case of a young female with paramyotonia congenita due to sodium chanelopathy, who developed acute paraspinal compartment syndrome after ingestion of an ephedrine containing proprietary weight loss product. We highlight the challenges in diagnosis and management and review potential precipitating factors and mechanisms underlying the clinical features.

Commentary

Pages: 1 - 2

Sexual Rehabilitation of Patients with Spinal Cord Injury

Serdar Toksoz

DOI:

DOI: 10.4172/2165-7939.S7-002

Sexual and reproductive health is important for quality of life and has a significant influence on patient satisfaction. Spinal cord pathology occurs from trauma, deformity, and degenerative disease processes may be leads to damage sexual function and reproductive system. There are two control systems situated in the spinal cord associated with erection; parasympathetic and sympathetic nervous systems. The parasympathetic center is in sacral segments S2–S4 and is responsible for reflexogenic erection and the sympathetic center is placed in T11–L2 segments of the spinal cord, which is responsible for psychogenic erection. Approximately 10-20% of erectile dysfunction (ED) is of neurological origin. The neurogenic ED is classified into 3 groups, as supraspinal, spinal (sacral and suprasacral) and peripheral.

Case Report

Pages: 1 - 3

Improvement of Walking Ability Using Hybrid Assistive Limb Training in a Patient with Severe Thoracic Myelopathy caused by Ossification of the Posterior Longitudinal Ligament - A Case Report

Shigeki Kubota, Tetsuya Abe, Kengo Fujii, Aiki Marushima, Tomoyuki Ueno, Ayumu Haginoya, Ayumu Endo, Hideki Kadone, Hiroaki Kawamoto, Yukiyo Shimizu, Yasushi Hada, Akira Matsumura, Yoshiyuki Sankai and Masashi Yamazaki

DOI:

DOI: 10.4172/2165-7939.S7-003

The purpose of this study was to report the improvement of walking ability using Hybrid Assistive Limb (HAL) training in a case of severe thoracic myelopathy caused by ossification of the posterior longitudinal ligament (OPLL). The patient received HAL training 2-3 times per week (10 sessions) beginning on the thirteenth postoperative day. The patient’s walking ability and lower muscles strength were significantly improved. It suggests that HAL training in the early postoperative phase has the potential to be an effective rehabilitation tool to improve functional ambulation in surgically-treated thoracic OPLL patients with inability of walk.

Review Article

Pages: 1 - 4

Respiratory Care in Traumatic Spinal Cord Injury

Kumar N

DOI:

DOI: 10.4172/2165-7939.S7-004

This article deals with the respiratory management of acute spinal cord injury patients discussing the mechanics of respiration, assessment and management strategies, respiratory care in the acute stage, invasive mechanical ventilation and weaning including survival following spinal cord injury.
The importance of the care in supine position, physiological instability of the injured cord effect of hypoxia and hypovolaemia is also discussed.
A review of relevant literature has been done to try and answer whether early mobilization following acute spinal cord injury is better than active physiological conservative care including slow weaning, reflecting the ethos of treatment for these problems at Oswestry.

Review Article

Pages: 1 - 4

Building the Regenerative Microenvironment with Functional Biomaterials for Spinal Cord Injury Repair

Zhifeng Xiao, Bing Chen and Jianwu Dai

DOI:

DOI: 10.4172/2165-7939.S7-005

Spinal cord injury (SCI) is a devastating injury resulting in changes in the spinal cord’s motor, sensory, or autonomic functions. Following SCI, an inhibitory environment develops at the injury site for neural regeneration. In this review, we summary the strategies to rebuild the regenerative microenvironment with functional biomaterials for SCI repair mainly based on our research. We have developed a functional biomaterial consisting of collagen scaffolds and biologically active molecules (neurotrophic factor or the antagonists to myelin-associated inhibitor), and stem cells to rebuild a nerve regeneration microenvironment. Specifically, (1) the linear ordered collagen scaffold (LOCS) was used to guide the neural regeneration along its fibers and decrease the formation of glial scars, (2) collagen binding neurotrophic factors were incorporated into the scaffolds to promote neuronal survival and neural fiber regeneration, (3) antagonists to myelin-associated inhibitors were added to the scaffold to direct the neuronal differentiation of the native or transplanted neural stem cells at the injury site, (4) mesenchymal stem cells (MSCs) were also added to the scaffold to reduce the acute inflammatory response due to SCI. These strategies were found to promote neural regeneration and functional recovery in SCI animals. In addition, the endogenous neural stem cells (NSCs) or implanted NSCs could be differentiated into neurons, which re-established the neuronal circuits to improve SCI repair under the favorable environment.

Review Article

Pages: 1 - 4

Traumatic Spinal Cord Injuries: An Evidence-based Practice Approach

Kumar N

DOI:

DOI: 10.4172/2165-7939.S7-006

This article deals with the main issues of management of traumatic spinal cord injury discussing - physiological instability, prognostic determinants of recovery, natural history, care in supine position, mobilization, canal encroachment, cord compression, and indications for surgery.
A review of relevant literature has been done including the STASCIS study to try and explore whether early or late surgery for traumatic spinal cord injury is better than conservative management.
It reflects the ethos of Active Physiological Conservative Management for these patients at RJ&AH Orthopaedic Hospital.
Considering the lack of credible evidence demonstrating superiority of outcome with surgery compared to early active management of the traumatic spinal injury, patients should be encouraged to make an informed choice.

Review Article

Pages: 1 - 4

Pediatric Spinal Cord Injury

Jakub Tatka, Justen Elbayer, Saman Vojdani, Nicholas Pallotta, Aden Malik and James Barsi

DOI:

DOI: 10.4172/2165-7939.S7-007

Pediatric spinal cord injury is a complex process that is associated with significant morbidity and mortality. While this injury is rare, knowledge of the unique aspects of the pediatric spine can aid in making a prompt diagnosis which can lead to faster treatment and functional recovery.

Case Report

Pages: 1 - 4

Novel Surgical Technique for Discogenic Cauda Equina Syndrome - Transforaminal Intra Discal Access by Annulotomy outside Central Spinal Canal

Sreedharan Namboothiri PE, Satishchandra Gore and Poorana Raja

DOI:

DOI: 10.4172/2165-7939.S7-008

Cauda equina syndrome is characterised by disturbed function of multiple sacral and lumbar nerve roots in the lumbar vertebral canal resulting in impairment of bladder, bowel, or sexual function. Since the sacral roots are more at midline in lumbar dural sac a central disc herniation of large size can be a cause. The large central herniation causing cauda equina syndrome stretches the roots. Best results are obtained by decompression.

Google Scholar citation report
Citations: 1579

Journal of Spine received 1579 citations as per Google Scholar report

Journal of Spine peer review process verified at publons

Indexed In

arrow_upward arrow_upward