Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 9 , Pages 1189-1194 , September 2006

Paraplegia After Aortic Aneurysm Repair Versus Traumatic Spinal Cord Injury: Functional Outcome, Complications, and Therapy Intensity of Inpatient Rehabilitation

  • Osamu Yokoyama, MD

      Affiliations

    • Department of Rehabilitation Medicine, Kanagawa Rehabilitation Hospital, Japan
    • Corresponding Author InformationReprint requests to Osamu Yokoyama, MD, Kanagawa Rehabilitation Hospital, 516 Nanasawa, Atsugi-city, Kanagawa Prefecture, 243-0121, Japan
    • ,
  • Fujiko Sakuma, MD

      Affiliations

    • Department of Rehabilitation Medicine, Kanagawa Rehabilitation Hospital, Japan
    • ,
  • Ryousuke Itoh, MD

      Affiliations

    • Department of Rehabilitation Medicine, Kanagawa Rehabilitation Hospital, Japan
    • ,
  • Hironobu Sashika, MD

      Affiliations

    • Department of Rehabilitation Medicine, Yokohama City University School of Medicine, Yokohama, Japan

References 

  1. Tabayashi K . Spinal cord protection during thoracoabdominal aneurysm repair . Surg Today . 2005;35:1–6
  2. Sliwa JA , Maclean IC . Ischemic myelopathy (a review of spinal vasculature and related clinical syndromes) . Arch Phys Med Rehabil . 1992;73:365–372
  3. Coselli JS , Le Maire SA , Koksoy C , Schmitting ZC , Curling PE . Cerebrospinal fluid drainage reduces paraplegia following thoracoabdominal aortic aneurysm repair (results of a prospective randomized trial) . J Vasc Surg . 2002;35:631–639
  4. Tabayashi K , Niibori K , Konno H , Mohri H . Protection from postischemic spinal cord injury by perfusion cooling of the epidural space . Ann Thorac Surg . 1993;56:494–498
  5. Marsala M , Vanicky I , Galik J , Radonak J , Kundrat I , Marsala J . Panmyelic epidural cooling protects against ischemic spinal cord damage . J Surg Res . 1993;55:21–31
  6. Laschinger JC , Owen J , Rosenbloom M , Cox JL , Kouchoukos NT . Direct noninvasive monitoring of spinal cord motor function during thoracic aortic occlusion (use of motor evoked potentials) . J Vasc Surg . 1988;7:161–171
  7. Griepp RB , Ergin MA , Galla JD , et al.   Looking for the artery of Adamkiewicz (a quest to minimize paraplegia after operations for aneurysms of the descending thoracic and thoracoabdominal aorta) . J Thorac Cardiovasc Surg . 1996;112:1202–1213 discussion 1213-5
  8. Safi HJ , Miller CC , Huynh TT , et al.   Distal aortic perfusion and cerebrospinal fluid drainage for thoracoabdominal and descending thoracic aortic repair (ten years of organ protection) . Ann Surg . 2003;238:372–380 discussion 380-1
  9. Cambria RP , Davison JK , Zannetti S , et al.   Clinical experience with epidural cooling for spinal cord protection during thoracic and thoracoabdominal aneurysm repair . J Vasc Surg . 1997;25:234–241 discussion 241-3
  10. Rectenwald JE , Huber TS , Martin TD , et al.   Functional outcome after thoracoabdominal aortic aneurysm repair . J Vasc Surg . 2002;35:640–647
  11. Estrera AL , Miller CC , Huynh TT , Porat E , Safi HJ . Neurologic outcome after thoracic and thoracoabdominal aortic aneurysm repair . Ann Thorac Surg . 2001;120:224–229
  12. Murray MJ , Bower TC , Oliver WC , Werner E , Gloviczki P . Effects of cerebrospinal fluid drainage in patients undergoing thoracic and thoracoabdominal aortic surgery . J Cardiothorac Vasc Anesth . 1993;7:266–272
  13. Grabitz K , Sandmann W , Stuhmeier K , et al.   The risk of ischemic spinal cord injury in patients undergoing graft replacement for thoracoabdominal aortic aneurysms . J Vasc Surg . 1996;23:230–240
  14. McKinley WO , Conti-Wyneken AR , Vokac CW , Cifu DW . Rehabilitative functional outcome of patients with neoplastic spinal cord compression . Arch Phys Med Rehabil . 1996;77:892–895
  15. McKinley WO , Huang ME , Brunsvold KT . Neoplastic versus traumatic spinal cord injury (an outcome comparison after inpatient rehabilitation) . Arch Phys Med Rehabil . 1999;80:1253–1257
  16. McKinley WO , Tellis AA , Cifu DX , et al.   Rehabilitation outcome of individuals with nontraumatic myelopathy resulting from spinal stenosis . J Spinal Cord Med . 1998;21:131–136
  17. New PE . Functional outcomes and disability after nontraumatic spinal cord injury rehabilitation (results from a retrospective study) . Arch Phys Med Rehabil . 2005;86:250–261
  18. Kwakkel G , Wagenaar RC , Twisk JW , Lankhorst GJ , Koetsier JC . Intensity of leg and arm training after primary middle-cerebral artery stroke (a randomized trial) . Lancet . 1999;354:191–196
  19. Jette DU , Warren RL , Wirtalla C . The relation between therapy intensity and outcomes of rehabilitation in skilled nursing facilities . Arch Phys Med Rehabil . 2005;86:373–379
  20. Sonoda S , Saitoh E , Nagai S , Kawakita M , Kanada Y . Full-time integrated treatment program, a new system for stroke rehabilitation in Japan (comparison with conventional rehabilitation) . Am J Phys Med Rehabil . 2004;83:88–93
  21. Heinemann AW , Hamilton B , Linacre JM , Wright BD , Granger CV . Functional status and therapeutic intensity during inpatient rehabilitation . Am J Phys Med Rehabil . 1995;74:315–326
  22. Ditunno JF , Young W , Donovan WH , Creasey G . The international standards booklet for neurological and functional classification of spinal cord injury. American Spinal Injury Association . Paraplegia . 1994;32:70–80
  23. Kirshblum SC , Groah SL , McKinley WO , Gittler MS , Stiens SA . Spinal cord injury medicine. 1. Etiology, classification, and acute medical management . Arch Phys Med Rehabil . 2002;83(Suppl 1):S50–S57
  24. Scivoletto G , Morganti B , Ditunno P , Ditunno JF , Molinari M . Effects on age on spinal cord lesion patients’ rehabilitation . Spinal Cord . 2003;41:457–464
  25. Penrod LE , Hedge SK , Ditunno JF . Age effects on prognosis for functional recovery in acute traumatic central cord syndrome . Arch Phys Med Rehabil . 1990;71:963–968
  26. Roth EJ , Lovell L , Heinemann AW , Lee MY , Yarkony GM . The older adult with a spinal cord injury . Paraplegia . 1992;30:520–526
  27. Hamilton B , Granger C , Sherwin F , Zielezny M , Tashman JA . Uniform national data system for medical rehabilitation . In:  Fuhrer MJ editors. Rehabilitation outcome (analysis and measurement) . Baltimore: PH Brooks; 1987;p. 137–147
  28. Dinsmore RE , Willerson JT , Buckley MJ . Dissecting aneurysm of the aorta (aortographic features affecting prognosis) . Radiology . 1972;105:567–570
  29. McKinley WO , Seel RT , Gadi RK , Tewksbury MA . Nontraumatic vs. traumatic spinal cord injury (a rehabilitation outcome comparison) . Am J Phys Med Rehabil . 2001;80:693–699

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)00469-2

doi: 10.1016/j.apmr.2006.05.017

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 9 , Pages 1189-1194 , September 2006

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