Neurological outcome, working capacity and prognostic factors of patients with SCIWORA

Neva, Marko H; Röder, Christoph; Felder, Ursula; Kiener, Bertrand; Meier, Wolfgang; Perler, Gosia; Heini, Paul Ferdinand (2012). Neurological outcome, working capacity and prognostic factors of patients with SCIWORA. Spinal cord, 50(1), pp. 78-80. Basingstoke: Nature Publishing Group 10.1038/sc.2011.100

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STUDY DESIGN: Retrospective case review. OBJECTIVES: In the present study, the neurological outcome, retirement and prognostic factors of patients with spinal cord injury without radiographic abnormality (SCIWORA) were evaluated. SETTING: Swiss national work accident insurance database. METHODS: The medical histories of 32 patients who were insured by the Swiss Accident Insurance Fund (SUVA) and had SCIWORA between 1995 and 2004 were evaluated thoroughly. Moreover, all available magnetic resonance imaging (MRI) scans were evaluated. RESULTS: At the last follow-up, none of the patients had complete spinal cord injury, only 4 patients had severe deficits and 12 patients had normal motor and sensory function in the neurological examination. However, only 7 out of 32 patients had returned to full-time work and 10 out of 32 patients were fully retired. Both the presence of spinal cord change (ρ=0.51) and higher maximum spinal cord compression (ρ=0.57) in MRI scan correlated with the likelihood for retirement; older age (ρ=0.38) and physical load of work (ρ=0.4) correlated with retirement to a lesser extent. CONCLUSION: Although the neurological outcome of SCIWORA is mostly good, the retirement rate is high. Presence of spinal cord change and severity of cord compression are the best predictors for the degree of retirement.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery

UniBE Contributor:

Röder, Christoph; Perler, Gosia and Heini, Paul Ferdinand

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1362-4393

Publisher:

Nature Publishing Group

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:19

Last Modified:

13 May 2019 11:42

Publisher DOI:

10.1038/sc.2011.100

PubMed ID:

21912401

Web of Science ID:

000299314000015

URI:

https://boris.unibe.ch/id/eprint/5913 (FactScience: 210791)

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