Magnetic resonant imaging features of acute traumatic cervical spinal cord injury: Its correlation with american spinal injury association impairment scale and prediction of neurological improvement using a low tesla magnetic resonant imaging in a resource-constrained environment

Alfin, Jeneral Dumura; Yusuf, Ayodeji Salman; Mahmud, Raji Mohammed; Shilong, Danaan J.; Bot, Gyang Markus; Yiltok, Simon J

doi:10.4103/njot.njot_5_21

Cited by 1 publication

(2 citation statements)

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“…[ 12 13 ] A number of individual clinical, radiographic and demographic factors have been shown to be of importance in predicting clinical outcome following TSCI. [ 12 13 ] In recent times, several of such factors; patient’s demographic characteristics, mechanism of injury, segment of the cord involved and AIS grade conversion rates have been studied in order to determine their ability to predict neurological and functional outcome in patient with TSCI. [ 12 13 14 ] Some of these factors poorly predict future functional capacity.…”

Section: Introductionmentioning

confidence: 99%

“…[ 12 13 ] In recent times, several of such factors; patient’s demographic characteristics, mechanism of injury, segment of the cord involved and AIS grade conversion rates have been studied in order to determine their ability to predict neurological and functional outcome in patient with TSCI. [ 12 13 14 ] Some of these factors poorly predict future functional capacity. [ 15 ] However, factors such as; socio-economic characteristic, pre-hospital care and mode of transportation and injury to presentation interval have been poorly studied.…”

Section: Introductionmentioning

confidence: 99%

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Clinical profile and predictors of early outcome in patients with traumatic spinal cord injury in Jos, North-Central Nigeria

Alfin,

Shilong,

Bot

et al. 2023

J West Afr Coll Surg

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Background/Objectives: Spinal cord injury is a devastating condition and has been recognised so since antiquity with evolving pattern of presentation and outcome. This study aimed to review the clinical profile and determinants of early outcome in patients with traumatic spinal cord injury (TSCI) in Jos, Nigeria. Materials and Methods: This retrospective cohort study, reviewed the health records of all patients with TSCI that were managed, based on the neurosurgical unit protocol for the management of TSCI in our institution from 2011 to 2021. Relevant data were retrieved into a preformed pro forma, analysis was done for determinants of outcome using SPSS and presented in tables and figure. Results: A total of 296 patients, aged 20–39 years, with male to female ratio of 5.2:1 were studied. The median time from injury to presentation was 96 h, and the cervical spine was the most (139, 47.0%) affected region. Most of the patients (183, 61.8%) had complete injury (ASIA A) at presentation, the average, first week mean arterial blood pressure (MAP) of 89.98 ± 8.86. Mortality was 73 (24.7%) at 6 weeks post injury and complete TSCI, cervical spinal cord segment and the average “first week” MAP were, independent predictors of mortality. The admission ASIA impairment scale (AIS) and injury to presentation interval were predictive of AIS improvement at 6 weeks and length of hospital stay (LOHs). Conclusions: We also found that AIS at admission, level of spinal cord affected and the average first week MAP were early predictors of mortality, while the injury to presentation interval and admission AIS, predicted improvement of AIS at 6 weeks. The LOHs was seen more in patients with severe AIS at admission and those who had delayed presentation.

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