Definition of complete spinal cord injury

  title={Definition of complete spinal cord injury},
  author={Robert L. Waters and Rodney H. Adkins and Joy S. Yakura},
Prospective serial neurological examinations were performed on 445 consecutive traumatic spinal cord injury (SCI) patients admitted for rehabilitation on an average of 22.8±15.6 days after injury. Patients were categorized by both the ASIA and Sacral Sparing (SS) definitions of complete SCI, in order to compare the definitions in terms of consistency and prognostic ability. Recovery during follow-up was determined by sensory scores for light touch, sharp/dull discrimination, proprioception, and… Expand
Patterns of Sacral Sparing Components on Neurologic Recovery in Newly Injured Persons With Traumatic Spinal Cord Injury.
The components of initial and follow-up sacral sparing indicated differential patterns of neurologic outcome in persons with traumatic SCI and consideration of whether VAC should remain a diagnostic criterion sufficient for motor incomplete classification in the absence of other qualifying sublesional motor sparing is recommended. Expand
Patient selection for clinical trials: the reliability of the early spinal cord injury examination.
It is suggested that it is possible to identify within 48 h of injury, a subset of patients with a negligible chance for motor recovery who would be suitable candidates for future clinical trials of invasive treatments. Expand
Neurologic recovery of spinal cord injury patients in Italy.
OBJECTIVE To evaluate neurologic recovery of spinal cord lesion patients and its relationship to some lesion and patient features. DESIGN Retrospective review of the charts. SETTINGExpand
ASIA-A Patients With Partial Preservation Versus Partial Recovery: Dynamic Grading
Lately recovered zones that terminologically cannot be considered as ZPP on initial examinations (according to ASIA standards) may be called as “zone of partial recovery” at some time after the injury. Expand
A Comparison of Diagnostic Stability of the ASIA Impairment Scale versus Frankel Classification Systems for Traumatic Spinal Cord Injury.
Greater number of persons diagnosed with neurologically incomplete SCI regressed to complete status at 1-year when using the Frankel compared to the AIS classification which is based upon sacral sparing, reinforces the finding that the "sacral sparing" definition is a more stable classification in traumatic SCI. Expand
Neurologic Outcome in Conservatively Treated Patients With Incomplete Closed Traumatic Cervical Spinal Cord Injuries
The evaluation of 44 patients who were observed for more than 12 months showed that the preservation of sharp sensation below the level of injury was an indicator of a good prognosis in patients whose injuries were classified as Frankel B, and the degree of recovery of these patients according to the motor score system was comparable with that of patients who did not deteriorate. Expand
Conversion in ASIA impairment scale during the first year after traumatic spinal cord injury.
A substantial amount of spontaneous AIS conversions should be taken into consideration when designing clinical trials to assess the effects of potential new treatments for SCI, and to discern the nature of any changes in the classification that occur. Expand
Long-Term Follow-up of Patients with Spinal Cord Injury
Motor, sensory, and FIM scores increased in patients with SCI after a follow-up period of 18 months, and improvement to a higher ASIA stage could be accomplished by 25% of the patients. Expand
Motor recovery following spinal cord injury associated with cervical spondylosis: a collaborative study
Recovery of motor strength in this group is comparable to that of individuals with incomplete tetraplegia in general but the proportion who regain ambulatory function is less. Expand
Conversion in ASIA Impairment Scale during the First Year after Traumatic Spinal Cord Injury
Assessment of the course of the AIS following SCI found that a change in the last sacral segments, motor improvement, sensory improvement, and achange in the neurological level of the SCI contributed to or accompanied the A IS conversion. Expand


Diagnosis and prognosis of acute cervical spinal cord injury.
The diagnosis of complete or incomplete quadriplegia and designation of functional levels can be accurately determined during the first 24 hours after injury in virtually all cases of severeExpand
Diagnosis and prognosis of acute cervical spinal cord injury.
  • E. Stauffer
  • Medicine
  • Clinical orthopaedics and related research
  • 1975
The diagnosis of complete or incomplete quadriplegia and designation of functional levels can be accurately determined during the first 24 hours after injury in virtually all cases of severeExpand
University of miami neuro-spinal index (UMNI): a quantitative method for determining spinal cord function
The University of Miami Neuro-Spinal Index (UMNI) utilises standard methods of spinal cord functional assessment to produce a numerical value which can be used to determine change in a patient's status, even when the change is minimal. Expand
Fractures, dislocations, and fracture-dislocations of the spine.
  • F. Holdsworth
  • Medicine
  • The Journal of bone and joint surgery. American volume
  • 1970
Over 1000 patients with traumatic paraplegia or tetraplegia and many more with fractures and dislocations of the spine without damage to the central nervous system have been observed and treated atExpand