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Academic literature on the topic 'Spinal cord Wounds and injuries Complications Victoria'

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Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Spinal cord Wounds and injuries Complications Victoria"

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Brembilla, Carlo, Luigi Andrea Lanterna, Paolo Gritti, Emanuele Costi, Gianluigi Dorelli, Elena Moretti, and Claudio Bernucci. "Disabling Orthostatic Headache after Penetrating Stonemason Pencil Injury to the Sacral Region." Case Reports in Emergency Medicine 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/623405.

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Penetrating injuries to the spine, although less common than motor vehicle accidents and falls, are important causes of injury to the spinal cord. They are essentially of two varieties: gunshot or stab wounds. Gunshot injuries to the spine are more commonly described. Stab wounds are usually inflicted by knife or other sharp objects. Rarer objects causing incidental spinal injuries include glass fragments, wood pieces, chopsticks, nailguns, and injection needles. Just few cases of penetrating vertebral injuries caused by pencil are described. The current case concerns a 42-year-old man with an accidental penetrating stonemason pencil injury into the vertebral canal without neurological deficit. After the self-removal of the foreign object the patient complained of a disabling orthostatic headache. The early identification and treatment of the intracranial hypotension due to the posttraumatic cerebrospinal fluid (CSF) sacral fistulae were mandatory to avoid further neurological complications. In the current literature acute pattern of intracranial hypotension immediately after a penetrating injury of the vertebral column has never been reported.
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Johnson-Kunjukutty, Swapna, and Carmel Delille. "Impact of chronic osteomyelitis on wound healing and the quality of life of the patient with a chronic wound." WCET Journal 39, no. 2 (2019): 34–40. http://dx.doi.org/10.33235/wcet.39.2.34-40.

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Spinal cord injury (SCI) patients have a higher risk of developing pressure injury secondary to limited mobility and lack of sensation. The James J Peters Medical Center is one of several regional spinal cord injury centres in the Veterans Affairs System. Veterans with SCI receive comprehensive care. Hospital- and community-acquired pressure injuries (HAPIs and CAPIs) can progressively advance to chronic stage IV pressure injury complicated with osteomyelitis. Chronic wounds that become infected can lead to sepsis if the wounds are not managed properly. The management of chronic wounds represents a significant financial burden for any health care system and a challenge for providers whose goals are to avoid prolongation of hospital stay, avoid complications, and minimise disruption in the patient’s life. A focus of the primary physician is to establish a rehabilitation plan that facilitates the patient to resume activities of daily living post injury and have a productive life in their community. However, despite the collaborative effort of the SCI team, the sudden change in the patient’s mobility can also have a detrimental impact on the patient’s mental status as well.
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Stupak, Vyacheslav Vladimirovich, and Elena Nikolayevna Rodyukova. "LOCAL LOW INTENSIVE LASER IRRADIATION FOR TREATMENT OF TROPHIC COMPLICATIONS IN PATIENTS WITH SPINAL CORD INJURIES." Hirurgiâ pozvonočnika, no. 2 (May 26, 2005): 034–40. http://dx.doi.org/10.14531/ss2005.2.34-40.

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Objective. The efficacy of low intensive laser irradiation in the treatment of decubitus and slowly granulating wounds is studied in comparison with conventional methods. Materials and Methods. Eighty two patients with trophic ulcers after spinal cord injury were conservatively treated by routine methods (35 patients) and by local laser irradiation (47 patients). The efficacy of local laser therapy was assessed basing on clinical course of healing of decubitus and slowly granulating wound, and daily epithelization rate and percentage in experimental and control groups. Results. The ulcer epithelization rate in all patients who underwent a local laser irradiation was reliably higher than in control patients. This study underlied the development of effective technique for decubitus sanation providing the increase in epithelization rate and improvement of ulcer healing.
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Rathore, F. A., C. O'connell, and J. Li. "(A313) Role of Physiatrists in Post Disaster Scenarios - Lessons Learned from Pakistan, China and Haiti Earthquakes." Prehospital and Disaster Medicine 26, S1 (May 2011): s105. http://dx.doi.org/10.1017/s1049023x1100330x.

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IntroductionPhysical Medicine and Rehabilitation is a goal oriented and patient centered specialty which focuses on functional restoration and quality of life of persons with disability. The patterns of injuries among survivors of recent disasters have, range from mild (single limb fracture) to catastrophic (spinal cord injury, amputation, traumatic brain injury). Historically physiatrists have not participated the acute disaster management phase or in the emergent post disaster rehabilitation planning. This task is usually relegated to the trauma, orthopedic and general surgeons.MethodologyAuthors had firsthand experience in the acute and emergent care and rehabilitation of trauma patients after Pakistan, China and Haiti earthquakes. An electronic literature search (English, 1965–2010, Key words: trauma, rehabilitation, disability, spinal cord injury, amputation, disaster, nerve injury) was carried out. Experience sharing through committees, online forum, and communications were conducted with physiatry colleagues internationally.ResultsIn these three recent earthquakes, Physiatrists provided direct patient care, including guidance in the evacuation of survivors with pre-existing disabilities, transport of persons with spinal trauma, treatment of wounds, fractures, pain, spinal trauma patients and persons with amputations. Physiatrists devised appropriate plans for conservative management of fractures. Education of local staff and coordination of rehabilitation was initiated. Monitoring, prevention and treatment of secondary complications including prolonged immobility, pressure ulcers, chronic pain, urinary, bowel and respiratory dysfunction was performed. Physiatrists helped in patient counseling and family education.ConclusionPhysiatrists by virtue of their training and skills are in a better position to manage the disabilities, including direction of rehabilitation and community integration, prevention of complications, and education and training of health workers and teams. Timely rehabilitation interventions for Spinal cord injuries and lower limb amputations following the Pakistan, China and Haiti earthquakes resulted in reduction in morbidity and mortality among those with catastrophic injuries.
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Bagheri, Zahra, Amir Larki-Harchegani, Shabnam Pourmoslemi, Amir Nili-Ahmadabadi, Ebrahim Bakhtiari, Hamid Safarpour, Ali Fathi Jouzdani, and Morteza Shamsizadeh. "The Antimicrobial and Healing Effect of Scrophularia striata Boiss Hydroalcoholic Extract on First- and Second-Grade Pressure Wounds in Patients with Brain and Spinal Cord Injury: A Randomized Clinical Trial." Evidence-Based Complementary and Alternative Medicine 2022 (November 28, 2022): 1–11. http://dx.doi.org/10.1155/2022/8522937.

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Introduction and Objectives. Pressure wound is one of the most common problems in patients with brain and spinal cord lesions leading to complications such as severe pain, infection, and frequent hospitalisation. The present study aimed to determine the restorative and antimicrobial effects of Scrophularia striata hydroalcoholic extract (SHE) on first- and second-grade pressure ulcers in patients with brain and spinal cord lesions. Materials and Methods. This double-blind clinical trial study was performed on grade 1 and 2 pressure wounds in 120 patients with cerebral-spinal cord lesions. The patients were randomly divided into four groups (n = 30). Topical treatments in all groups were performed twice a day. These groups included experiment 1 (SHE + phenytoin), experiment 2 (SHE + SHE), control (phenytoin + phenytoin), and placebo (eucerin + phenytoin). After evaluating the effect of SHE on wound healing, its antibacterial activity was determined by the standard agar well diffusion method. Results. Patients in each group in this study did not significantly differ in demographic and clinical variables. Complete wound healing by the 10th day of the intervention occurred in 63%, 100%, and 27% of patients in experimental 1, experimental 2, and control groups, respectively. In contrast, the placebo group had no complete wound healing until the 10th day. Topical application of SHE, twice a day in the experimental 2 groups, had a higher potency to heal wounds and reduce the duration of complete wound healing in patients compared with other groups. Conclusion. SHE, as a novel treatment option, has good potential to accelerate the healing of first- and second-degree pressure wounds in patients with brain-spinal cord injuries.
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Kumar, Suneel, Thomas Theis, Monica Tschang, Vini Nagaraj, and Francois Berthiaume. "Reactive Oxygen Species and Pressure Ulcer Formation after Traumatic Injury to Spinal Cord and Brain." Antioxidants 10, no. 7 (June 24, 2021): 1013. http://dx.doi.org/10.3390/antiox10071013.

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Traumatic injuries to the nervous system, including the brain and spinal cord, lead to neurological dysfunction depending upon the severity of the injury. Due to the loss of motor (immobility) and sensory function (lack of sensation), spinal cord injury (SCI) and brain injury (TBI) patients may be bed-ridden and immobile for a very long-time. These conditions lead to secondary complications such as bladder/bowel dysfunction, the formation of pressure ulcers (PUs), bacterial infections, etc. PUs are chronic wounds that fail to heal or heal very slowly, may require multiple treatment modalities, and pose a risk to develop further complications, such as sepsis and amputation. This review discusses the role of oxidative stress and reactive oxygen species (ROS) in the formation of PUs in patients with TBI and SCI. Decades of research suggest that ROS may be key players in mediating the formation of PUs. ROS levels are increased due to the accumulation of activated macrophages and neutrophils. Excessive ROS production from these cells overwhelms intrinsic antioxidant mechanisms. While short-term and moderate increases in ROS regulate signal transduction of various bioactive molecules; long-term and excessively elevated ROS can cause secondary tissue damage and further debilitating complications. This review discusses the role of ROS in PU development after SCI and TBI. We also review the completed and ongoing clinical trials in the management of PUs after SCI and TBI using different technologies and treatments, including antioxidants.
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Lehre, Martin Andreas, Lars Magnus Eriksen, Abenezer Tirsit, Segni Bekele, Saba Petros, Kee B. Park, Marianne Lundervik Bøthun, and Knut Wester. "Outcome in patients undergoing surgery for spinal injury in an Ethiopian hospital." Journal of Neurosurgery: Spine 23, no. 6 (December 2015): 772–79. http://dx.doi.org/10.3171/2015.3.spine141282.

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OBJECT The objective of this study was to investigate epidemiology and outcome after surgical treatment for spinal injuries in Ethiopia. METHODS Medical records of patients who underwent surgery for spine injuries at Myungsung Christian Medical Center in Addis Ababa, Ethiopia, between January 2008 and September 2012 were reviewed retrospectively. Assessment of outcome and complications was determined from patient consultations and phone interviews. RESULTS A total of 146 patients were included (129 males, 17 females). Their mean age was 31.7 years (range 15–81 years). The leading cause of injury was motor vehicle accidents (54.1%), and this was followed by falls (26.7%). The most common injury sites were lumbar (41.1%) and cervical (34.2%) regions of the spine. In 21.2% of patients, no neurological deficit was present before surgery, 46.6% had incomplete spinal cord injury (American Spinal Injury Association [ASIA] Impairment Scale [AIS] Grade B-D), and 32.2% had complete spinal cord injury (AIS Grade A). Follow-up was hampered by suboptimal infrastructure, but information regarding outcome was successfully obtained for 110 patients (75.3%). At follow-up (mean 22.9 months; range 2–57 months), 25 patients (17.1%) were confirmed dead and 85 patients (58.2%) were alive; 49 patients (33.6%) underwent physical examination. At least 8 of the 47 patients (17.0%) with a complete injury and 29 of the 68 patients (42.6%) with an incomplete injury showed neurological improvement. The reported incidences of pressure wounds, recurrent urinary tract infections, pneumonia, and thromboembolic events were 22.5%, 13.5%, 5.6%, and 1.1%, respectively. CONCLUSIONS Patients showed surprisingly good recovery considering the limited resources. Surgical treatment for spine injuries in Ethiopia is considered beneficial.
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Beaty, Narlin, Justin Slavin, Cara Diaz, Kyle Zeleznick, David Ibrahimi, and Charles A. Sansur. "Cervical spine injury from gunshot wounds." Journal of Neurosurgery: Spine 21, no. 3 (September 2014): 442–49. http://dx.doi.org/10.3171/2014.5.spine13522.

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Object Gunshot wounds (GSWs) to the cervical spine have been examined in a limited number of case series, and operative management of this traumatic disease has been sparsely discussed. The current literature supports and the authors hypothesize that patients without neurological deficit need neither surgical fusion nor decompression. Patients with GSWs and neurological deficits, however, pose a greater management challenge. The authors have compiled the experience of the R Adams Cowley Shock Trauma Center in Baltimore, Maryland, over the past 12 years, creating the largest series of such injuries, with a total number of 40 civilian patients needing neurosurgical evaluation. The current analysis examines presenting bone injury, surgical indication, presenting neurological examination, and neurological outcome. In this study, the authors characterize the incidence, severity, and recovery potential of cervical GSWs. The rate of unstable fractures requiring surgical intervention is documented. A detailed discussion of surgical indications with a treatment algorithm for cervical instability is offered. Methods A total of 144 cervical GSWs were retrospectively reviewed. Of these injuries, 40 had documented neurological deficits. No neurosurgical consultation was requested for patients without deficit. Epidemiological and clinical information was collected on patients with neurological deficit, including age, sex, timing, indication, type of surgery, initial examination after resuscitation, follow-up examination, and imaging data. Results Twenty-eight patients (70%) presented with complete neurological deficits and 12 patients (30%) presented with incomplete injuries. Fourteen (35%) of the 40 patients underwent neurosurgical intervention. Twelve patients (30%) required intervention for cervical instability. Seven patients required internal fixation involving 4 anterior fusions, 2 posterior fusions, and 1 combined approach. Five patients were managed with halo immobilization. Two patients underwent decompression alone for neurological deterioration and persistent compressive injury, both of whom experienced marked neurological recovery. Follow-up was obtained in 92% of cases. Three patients undergoing stabilization converted at least 1 American Spinal Injury Association (ASIA) Impairment Scale (AIS) grade and the remaining operative cases experienced small ASIA motor score improvement. Eighteen patients underwent inpatient MRI. No patient suffered complications or neurological deterioration related to retained metal. Three of 28 patients presenting with AIS Grade A improved to Grade B. For those 12 patients with incomplete injury, 1 improved from AIS Grade C to D, and 3 improved from Grade D to E. Conclusions Spinal cord injury from GSWs often results in severe neurological deficits. In this series, 30% of these patients with deficits required intervention for instability. This is the first series that thoroughly documents AIS improvement in this patient population. Adherence to the proposed treatment algorithm may optimize neurological outcome and spine stability.
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Pato, Tamara Rodrigues, Cristianne Akie Kavamoto, Marcelo Riberto, Andréa Thomaz, Verônica Magalhães Raimundo, Kátia Lina Myahara, Elizabete Tsubomi Saito, et al. "Development of a protocol for the assessment of patients with pressure ulcers through telemedicine and digital images." Acta Fisiátrica 14, no. 4 (December 9, 2007): 204–9. http://dx.doi.org/10.11606/issn.2317-0190.v14i4a102863.

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Pressure ulcers are frequent complications in patients with spinal cord injuries. These ulcers need an early diagnosis and a strict follow-up to prevent a more severe evolution and delays in the rehabilitation process. Unfortunately, patients do not always have access to a center specialized in the treatment of wounds, and thus, telemedicine can be useful in such cases. Objective: To evaluate the effectiveness of a protocol for the assessment of pressure ulcers through digital images. Methods: 15 patients were selected, totaling 33 ulcers. The patients were separately assessed by 2 on-site physiatrists, who filled out the first part of the protocol (patients’ clinical data) at the time of the consultation and took the photographs. These were sent to the physiatrists at-distance, who evaluated the wounds through the photographs and the data sent by the on-site physician. The similarities and differences between the two on-site physicians, between the on-site physicians and the physicians at-distance and between the two physicians at-distance were compared regarding the degree, necrosis, infection, fistula, secretion, wound border and depth aspect and conduct. The statistical analysis was based on Kappa calculations, a confidence interval and P value. Results: The highest Kappa values were observed when the on-site assessments were compared. For necrosis, degree and infection, the On-site Assessment (S) x Assessment at distance (D) Kappas were substantial and moderate. For the item conduct, the Kappa varied from weak to almost perfect. As for the evaluations of the borders, depth, secretion and fistula, there were divergences. Conclusion: The protocol is effective to assess wound necrosis, degree and infection. There is some difficulty in using the method to evaluate the border and depth aspect, secretion and fistula. The method showed to be more satisfactory for the assessment of pressure ulcers grade I and II.
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Ranjan Raman, Rajeev, Kulwant Singh, and Anurag Sahu. "EVALUATION OF OUTCOME OF PENETRATING SPINE INJURY, TERTIARY CARE CENTER." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, October 1, 2022, 27–29. http://dx.doi.org/10.36106/ijsr/2801178.

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Penetrating spine injuries are second most common spine injury after blunt trauma. Stab wounds and, gunshot wounds are two common types of penetrating injuries. Surgery has a signicant role in penetrating spine injury in cases of cord transection, cord compression by foreign body/ bony and soft tissue fragment, bony instability and in CSF leak. Stab wounds have comparatively better prognosis. Moreover, surgery plays a much larger role. Retained foreign objects should be removed after a stab injury, whereas bullet fragments may be left in place if it is not causing any role in neurological compression. Penetrating spine injuries are the second leading cause of spinal cord injuries. There is high rate of complications in surgical intervention for penetrating spine injuries to the spine. Very few literatures are available showing data on Penetrating spine injuries to the spine in India. Approximately 38 cases over the last 3 years have been recorded, with unusual presentation and neurological recovery. We tried to ll this gap in data, by reviewing cases of Penetrating spine injuries to spine presenting at a tertiary care hospital. A Retrospective cohort Methods study, in which Patients of all ages who presented to the emergency department of IMS BHU, with Penetrating spine injuries between October 2019 and April 2022 were included in the study. Neurological examinations were done and data were collected. American Spinal Injury Association score (ASIA) was used for the initial and follow-up neurological assessment. Extent of cord transection, motor and sensory decits were also recorded. The patients were grouped into patients with cord transaction and those with cord contusion with cord compression by foreign body or by bony and soft tissue fragment, CSF leak, and intact spinal cord and having fractures with bony instability. All patients were then followed and the outcomes were recorded. A total of 38 patients were identied. The mean ± Results SD of patients age was (30.9 ± 9.5) years. Of the 38patients with Penetrating spine injuries 36 were gunshot wounds, 2 had sharp weapon penetrating spinal cord injury.35 patients were managed surgically and conservative management done in 3 patients. The mean ± SD of follow-up was (8.7 ± 7.2) months. In our study, dorsal spine was the most commonly injured region. Of the 38 patients with medical imaging performed at our institute, 27 (71.05%) having cord contusion, 6(15.78%) were having cord compression by foreign body, 3(7.89%) were having bony instability without cord contusion and 2(5.26%) having CSF leak. Conclusion The prognosis of Penetrating spine injuries to the spine depends on whether the spinal cord is intact or transected and on presence of bony instability. Above inference will help healthcare providers to plan the further management of the patient and counsel them accordingly.
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Dissertations / Theses on the topic "Spinal cord Wounds and injuries Complications Victoria"

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Gibb, Martyn Anthony. "Optimism in the treatment and recovery of secondary medical complications after spinal cord injury." Thesis, 2008. http://hdl.handle.net/10210/1438.

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M.A.
The power of positive thinking to promote and maintain well-being has enjoyed widespread popular appeal. Spurred largely by the development of the Life Orientation Test (LOT) (Scheier & Carver, 1985), mounting evidence now attests to the apparent benefits conferred by an optimistic life outlook. Optimism, the inclination to expect favourable outcomes, has been linked to both psychological and physical well-being (Taylor, et al., 1992; Cheng & Hamid, 1997; Marshall, Wortman, Kusalas, Hervig, & Vickers, 1992; Scheier, Carver & Bridges, 1994; Scheier et al., 1989; Segerstrom, Taylor, Kemeny, & Fahey, 1998). Optimists and pessimists have been shown to differ in the manner in which they cope with the challenges in their lives. They differ in their stable coping tendencies and in the kinds of coping responses that they spontaneously generate when given hypothetical coping situations (Scheier, Weintraub, & Carver, 1986). Optimists also differ from pessimists in the manner in which they cope with serious disease and with concerns about specific health threats (Friedman, et al., 1992), and these coping mechanisms in optimists in turn have been linked to improved physical and psychological functioning. There is also a clear biological link between optimism and physical well-being and this has been noted in such areas as immune functioning (Peterson & Bossio, 2002). The current study examines these apparent benefits of optimism on health and explores the medical bases for this connection. The study also examines whether these benefits may be of use in the treatment and recovery from the unique secondary medical complications experienced by those who are spinal cord injured.
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"The performance of neurophysiologic monitoring to predict postoperative deficits in a porcine model of spinal cord injury." Thesis, 2010. http://library.cuhk.edu.hk/record=b6075031.

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By observing these warning criteria, surgery can be safely carried out if changes of signal amplitudes are within the threshold boundary. Future studies should aim to validate and refine the "warning criteria" for intraoperative neurophysiologic monitoring in different surgery.
During stable anesthesia, experiments were completed in 31 pigs. A decrease in SEP amplitude > 25% and / or TceMEP amplitude > 65% was associated with substantial risk of postoperative motor deficit. In addition, rapid deterioration of signal within 5 min of an event, and / or a lack of signal recovery within 30 min after the initial deterioration were also predictors of postoperative paraplegia or weakness. These findings also correlated well with radiological changes in the spinal cord. The sensitivity and specificity for TceMEP to predict adverse neurologic outcome were 100% and 90.5%, respectively.
In a porcine model of direct compression and distraction of the exposed spinal cord, we measured the perioperative changes in SEP and TceMEP. This was correlated with postoperative motor function using the modified Tarlov scale. Magnetic resonance diffusion tensor imaging of the spinal cord was also performed to assess the anatomical extent of injury three days after surgery.
The spinal cord is at risk of injury during complex operations of the spine or aorta, and may result in catastrophic long term disability. Intraoperative monitoring with somatosensory evoked potential (SEP) and transcranial electric motor evoked potential (TceMEP) are commonly performed to assess the integrity of the sensory and motor pathways, respectively. The purpose of this study was to identify the minimum changes in signal amplitudes, beyond which postoperative neurologic deficit may occur.
Liu, Quanmeng.
Adviser: Matthew Tu Chan.
Source: Dissertation Abstracts International, Volume: 73-02, Section: B, page: .
Thesis (Ph.D.)--Chinese University of Hong Kong, 2010.
Includes bibliographical references (leaves 87-103).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Abstract also in Chinese.
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Books on the topic "Spinal cord Wounds and injuries Complications Victoria"

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N, Ozer Mark, and Schmitt James K, eds. Medical complications of spinal cord injury. Philadelphia, Pa: Hanley & Belfus, 1987.

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Spinal cord injury: Impact and coping. Leicester: British Psychological Society, 1999.

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Miranda, John de. Inform yourself: Alcohol, drugs, and spinal cord injury : resource guide for persons with spinal cord injury and their families. San Mateo, Calif: Novation, Inc., 1992.

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M, Eltorai Ibrahim, Schmitt James K, and Eastern Paralyzed Veterans Association (U.S.), eds. Emergencies in chronic spinal cord injury patients. 3rd ed. Jackson Heights, NY: Eastern Paralyzed Veterans Association, 2001.

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White, Suzanne. Women, sexuality and spinal cord injury: Women living with the challenge of spinal cord injury speak out on issues of sexual and reproductive health. Edited by Crump Judith M, Raven Pauline 1954-, and Planned Parenthood Association of Nova Scotia. Halifax, N.S: Planned Parenthood Association of Nova Scotia, 1993.

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T, Andrews Brian, ed. Neurotrauma: Evidence-based answers to common questions. New York: Thieme, 2005.

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International, Symposium on Mechanisms of Secondary Brain Damage (7th 2003? Mules Italy). Mechanisms of secondary brain damage from trauma and ischemia: Recent advances of our understanding : [proceedings of 7th International Symposium on Mechanisms of Secondary Brain Damage, Mauls, Italy]. Wien: Springer, 2004.

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A, Baethmann, ed. Mechanisms of secondary brain damage from trauma and ischemia: Recent advances of our understanding : [proceedings of 7th International Symposium on Mechanisms of Secondary Brain Damage, Mauls, Italy]. Wien: Springer, 2004.

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1937-, Kawada S., Ueda T. 1951-, and Shimizu H. 1962-, eds. Cardio-aortic and aortic surgery. Tokyo: Springer, 2001.

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Takao, Kumazawa, Kruger Lawrence, and Mizumura Kazue, eds. The polymodal receptor: A gateway to pathological pain. Amsterdam: Elsevier, 1996.

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