Spinal cord
-
Case Reports
Hardware failure and spinal pseudoarthrosis causing autonomic dysreflexia: a report of two cases.
Case report. ⋯ Owing to the failure of spine-stabilizing hardware, sitting upright may cause an afferent stimulus that triggers the onset and worsening of symptoms associated with autonomic dysreflexia. Therefore, in contrast to current acute treatment regimes, lying down may be preferred to sitting upright (to decrease blood pressure) as a means to relieve the afferent stimulus. Surgical correction and hardware replacement alleviated the symptoms in these two patients.
-
Comparative Study
Comparison of computed tomographic and magnetic resonance imaging in fracture healing after spinal injury.
Single-centre, prospective (comparative cohort) clinical study, with ethical approval and patient consent. ⋯ MRI correlates well with CT in identifying vertebral fracture union and non-union. We suggest that where imaging is indicated in the assessment of vertebral body fracture healing MRI can be used routinely with CT reserved for problematic or inconclusive cases.
-
A prospective cohort with acute tetraplegia. ⋯ Transport Accident Commission.