Journal of musculoskeletal & neuronal interactions · 2025
Rehabilitation Perspectives in Spinal Cord Ischemia After Major Vascular Surgery: A Case Series.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Niki Yuya, Inaoka Pleiades T, Nishi Etsuko, Horie Sho, Mugii Naoki, Yahata Tetsutaro, Espinoza J Luis
Аннотация
OBJECTIVES: This observational study aims to summarize the disability profile, rehabilitation strategies, and six-month outcomes in patients with Spinal Cord Ischemia (SC-ischemia) following Major Vascular Surgeries (MVS) at our institution.
METHODS: Retrospective data were collected from seven patients who underwent MVS between April 2016 and March 2020.
RESULTS: All patients were male, with a mean age of 68.7 years. SC-ischemia affected predominantly Th10 (six patients) and Th12 (one patient), resulting in severe motor paralysis in six patients and moderate paralysis in one. The average intensive care unit stay was 19.6 days, with delayed mobility observed (9.6 days to sit upright, 14.9 days to sit in a wheelchair). Patients had a prolonged hospital stay (average 70.6 days) and showed minimal improvement in activities of daily living (median Barthel Index of 10). At six months, two patients regained walking ability, while five showed little improvement.
CONCLUSION: Recovery post-MVS-associated SC-ischemia is inconsistent and often limited. Future research should focus on optimizing rehabilitation strategies for these patients suffering from this catastrophic complication.
METHODS: Retrospective data were collected from seven patients who underwent MVS between April 2016 and March 2020.
RESULTS: All patients were male, with a mean age of 68.7 years. SC-ischemia affected predominantly Th10 (six patients) and Th12 (one patient), resulting in severe motor paralysis in six patients and moderate paralysis in one. The average intensive care unit stay was 19.6 days, with delayed mobility observed (9.6 days to sit upright, 14.9 days to sit in a wheelchair). Patients had a prolonged hospital stay (average 70.6 days) and showed minimal improvement in activities of daily living (median Barthel Index of 10). At six months, two patients regained walking ability, while five showed little improvement.
CONCLUSION: Recovery post-MVS-associated SC-ischemia is inconsistent and often limited. Future research should focus on optimizing rehabilitation strategies for these patients suffering from this catastrophic complication.