Abstract
During the years 1965 to 1986 the Rehabilitation Institute in Konstancin, Poland provided treatment for about 1400 patients admitted to hospital within the first hours or days after injury to the cervical spinal cord. This communication presents an analysis of 122 patients with tetraplegia, with absent sensation or only slight deep sensation preserved on admission. The patients showed considerable neurological recovery of the paralysed muscles. The analysis includes the age of patients, the level and degree of spinal cord injury, the mechanism of spinal injury, the time interval from injury to the return of sensation, voluntary movements and bladder automatism functions, as well as the ability to walk.
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Bedbrook G M, Sakae T 1982 A review of cervical spine injuries with neurological dysfunction. Paraplegia 20: 321–333.
Dietz J M, Bertschy M, Gschaedler R et al. 1986 Reflections of the intensive care of 106 acute cervical spinal cord injury patients in the Resuscitation Unit of a General Traumatology Centre. Paraplegia 24: 343–349.
Frankel H L, Hancock D O, Hyslop G et al. 1969 The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia Paraplegia 7: 179–192.
Harris P, Karmi M Z, McClemont E et al. 1980 The prognosis of patients sustaining severe cervical spine injury. Paraplegia 18: 324–330.
Kiwerski J, Weiss M 1981 Neurological improvement in traumatic injuries of the cervical spine Paraplegia 19: 31–37.
Kiwerski J 1986a The results of early conservative and surgical treatment of cervical spinal cord injured patients. International Rehabilitation Medicine 9: 149–154.
Kiwerski J 1986b Stimulation of the spinal cord in the treatment of traumatic injuries of cervical spine. Applied Neurophysiology 44: 166–171.
Kiwerski J 1988 Some aspects of functional results of treatment in traumatic cervical spinal cord injured patients Paraplegia (in press).
Wilmot C B, Hall K M 1986 Evaluation of acute management of tetraplegia: conservative versus surgical treatment Paraplegia 24: 148–153.
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Kiwerski, J. The natural history of neurological recovery in patients with traumatic tetraplegia. Spinal Cord 27, 41–45 (1989). https://doi.org/10.1038/sc.1989.6
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DOI: https://doi.org/10.1038/sc.1989.6