A laminar cytoarchitectonic scheme of the lower thoracic and lumbosacral segments of the rat spinal cord is presented in which Rexed's principles for the cat are applied. The material consists of 80-micron-thick sections stained with toluidine blue or according to van Gieson and 2-micron-thick sections stained with p-phenylenediamine or toluidine blue. The cytoarchitectonic organization of the rat spinal cord was found to be basically similar to that of the cat, although certain differences exist--for example, in the extension of the laminae. In addition to the laminar scheme, the distribution of certain cell groups, Lissauer's tract, and the pyramidal tract were investigated.

A laminar cytoarchitectonic scheme of the cervical and upper thoracic segments of the rat spinal cord is presented in which Rexed's principles for the cat are applied. The material examined in the current investigation consists of 50-80 microns-thick unstained or Nissl-stained sections, and 2 microns-thick plastic-embedded sections stained with paraphenylenediamine. The cytoarchitectonic organization was found to be basically similar to that of the cat. As in our previous study of the cytoarchitectonic organization of the lower thoracic and lumbosacral spinal cord (Molander et al.; J. Comp. Neurol. 230:133-141, '84), the borderlines between the laminae were often found to be ambiguous, suggestive of zones of transition rather than sharp borders. In addition to the laminar scheme, the distribution of certain important cell groups, including the column of Clarke, the central cervical nucleus, the lateral cervical nucleus, the lateral spinal nucleus, and the internal basilar nucleus, is described.

Study design: Retrospective register study. Objective: To investigate the predictive value of age at the time of injury, gender, level of injury, and completeness of injury for the development of at level and below level neuropathic pain. Setting: 'Spinalis', a postacute spinal cord injury (SCI) outpatient clinic, serving the greater Stockholm area (Sweden). Method: All patients who visited the clinic in 1995-2000 (402 patients) for the first time were examined. The following items were selected: at-level and below-level neuropathic pain according to the International Association for the Study of Pain (IASP) criteria, age at the time of injury, gender, level of injury according to ASIA, and completeness of injury. Mean time of 6 years after the injury. Results were analysed with w 2 analysis and logistic regression. Results: Of all patients examined, 13% had at level pain and 27% had below level pain. Neuropathic pain was less than half as frequent (26%) in the group aged less than 20 years at the time of injury as in the oldest group (58%). The increasing trend was mainly due to belowlevel pain up to 39 years of age, and due to at-level pain at ages 40 and above at the time of injury. No correlation was observed to gender, level of injury or completeness of injury, except for below level pain, which was associated with complete injury. Conclusion:The results show that neuropathic pain after SCI is common and occurs much more often in patients injured at higher ages. This indicates the importance of neuroanalgetic intervention, in particular for patients injured in higher ages.

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