86 cases of spinal fractures with neurological deficit have been reviewed. Surgical treatment of severe spinal injuries with neurological deficit comprises 3 important steps: -reduction-decompression- stabilisation. In cervical injuries, 3 main points can be obtained more often by conservative skeletal traction followed by immobilisation in cast or Halo in extension especially in complete cord lesion. Surgery is seldom indicated. In thoraco lumbar injuries surgery is mainly considered, but decision making for operation must be correct. Surgery attemping at enhancing neurological recovery carries its risk of lost of neurologic functions. Early or delayed operation does not change any neurological outcome. A delayed timing for surgery but good making decision is better than an aggressive surgery, without thinking of the prognosis. A repeated and meliculous neurological examination can predict the making decision for surgery and prognosis of the results.
Spinal Injuries

No abstract available.
Spinal Cord Injuries* ; Spinal Cord*

No abstract available.
Korea ; Spinal Cord Injuries*

No abstract available.
Disability Evaluation* ; Spinal Injuries*

The authors present data from 150 cases of traumatic dorsolumbar spinal injuries operated on by Roy- Camille method. There was prevalence of male patients: 80%. The majority of patients belongs to the labour age group: from 20 to 50 years of age: 87.3%. The youngest was 16, the oldest: 71. The most frequent causes are labour accidents: 71.3%, fall having the highest percentage: 48.6%. The machanism of injury is compression with decreased vertebral body in height: 52%. There were extraspinal lesion in 13.3% of cases. Pain at the lesion level was found in 13.3% of cases. Pain at the lesion level was found in 100%- 91.3% of the patients had disturbaces; 82.7% these was hyposensibility under the level of the lesion, in 76.7% there was complete. In 66% fracture of the spine was found and 52% had dislocation. most often surgery was done in emergency. 82% had laminectomy, 94.7% had three spinal bodies fixed. Mean hospitalization: 9.6 days. 20 patients recovered from neurological funtions during hospitalization.
Spinal Injuries ; surgery

Spinal Cord Injuries ; Steroids

Although the prediction of a delayed spinal cord injury after a low voltage electrical accident is difficult, we present a young paraplegic man who had delayed spinal cord injury after a low voltage electrical accident while working. Because the passage of an electric current is variable, the tissues far distant from the point of entry may be damaged, including the spinal cord. Low voltage itself is not a safe.
Paraplegia ; Spinal Cord ; Spinal Cord Injuries

No abstract available.
Humans ; Male ; Spinal Cord Injuries* ; Spinal Cord*

No abstract available.
Burns* ; Spinal Cord Injuries* ; Spinal Cord*

OBJECTIVE: The aim of this study was to investigate the suitability of the Revised version of the Korean Spinal Cord Independence Measure (KSCIM-R), which is a functional evaluation tool for spinal cord injury. METHOD: Thirty patients with spinal cord injury were enrolled. The KSCIM was modified to as KSCIM-R. Inter- rater reliability and relative sensitivity of KSCIM-R were evaluated by two raters, biweekly. RESULTS: The Kappa coefficient of the various individual tasks in the KSCIM-R ranged between 0.71 and 0.95 (mean: 0.82), which was higher than the previous version, KSCIM. High correlations were found between the total KSCIM-R scores of the paired raters (r=0.95, p<0.01), and between KSCIM-R scores and total FIM scores (r=0.90, p<0.01). The KSCIM-R detected all the functional changes detected by FIM total scoring, however the FIM missed changes in 16 (16%) of 102 sequential test batteries, which was detected by KSCIM-R total scoring. CONCLUSION: These results demonstrated that the KSCIM-R is reliable and more sensitive than the FIM and KSCIM in reflecting the functional changes of SCI patients.
Humans ; Spinal Cord Injuries ; Spinal Cord*