• Einat Engel-Haber, Irina Radomislensky, Kobi Peleg, Moran Bodas, Moshe Bondi, Shlomo Noy, Gabi Zeilig, and Israel Trauma Group.
• Department of Neurological Rehabilitation, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
• Spine. 2021 Oct 15; 46 (20): E1089E1096E1089-E1096.

Study DesignA retrospective cohort study.ObjectiveThis study aims to assess the potential value of very early trauma variables such as Abbreviated Injury Scale (AIS) and the Injury Severity Score for predicting independent ambulation following a traumatic spinal cord injury (TSCI).Summary Of Background DataSeveral models for prediction of ambulation early after TSCI have been published and validated. The vast majority rely on the initial examination of American Spinal Injury Association (ASIA) impairment scale and level of injury; however, in many locations and clinical situations this examination is not feasible early after the injury.MethodsPatient characteristics, trauma data, and ASIA scores on admission to rehabilitation were collected for each of the 144 individuals in the study. Outcome measure was the indoor mobility item of the Spinal Cord Independence Measure taken upon discharge from rehabilitation. Univariate and multivariable models were created for each predictor, Odds ratios (ORs) were obtained by a multivariable logistic regression analysis, and area under the receiver operator curve was calculated for each model.ResultsWe observed a significant correlation between the trauma variables and independent ambulation upon discharge from rehabilitation. Of the early variables, the AIS for the spine region showed the strongest correlation.ConclusionThese findings support using preliminary trauma variables for early prognostication of ambulation following a TSCI, allowing for tailored individual interventions.Level of Evidence: 3.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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