Rehabilitation Perspectives in Spinal Cord Ischemia After Major Vascular Surgery: A Case Series.

IF 1.7 4区医学 Q4 NEUROSCIENCES

Journal of musculoskeletal & neuronal interactions Pub Date : 2025-03-01 DOI:10.22540/JMNI-25-056

Yuya Niki, Pleiades T Inaoka, Etsuko Nishi, Sho Horie, Naoki Mugii, Tetsutaro Yahata, J Luis Espinoza

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引用次数: 0

Abstract

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.

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大血管手术后脊髓缺血的康复前景：病例系列。

研究目的本观察性研究旨在总结我院脊髓缺血（SC-ischemia）患者在接受大血管手术（MVS）后的残疾情况、康复策略和6个月的疗效：方法：从2016年4月至2020年3月期间接受大血管手术的7名患者中收集回顾性数据：所有患者均为男性，平均年龄为 68.7 岁。SC缺血主要影响Th10（6名患者）和Th12（1名患者），导致6名患者重度运动麻痹，1名患者中度麻痹。重症监护室的平均住院时间为 19.6 天，观察到患者行动迟缓（直立坐起 9.6 天，坐在轮椅上 14.9 天）。患者住院时间较长（平均 70.6 天），日常生活能力改善甚微（巴特尔指数中位数为 10）。6个月后，2名患者恢复了行走能力，5名患者则改善甚微：结论：MVS 相关性 SC 缺血后的康复效果并不一致，而且往往有限。未来的研究应重点关注如何优化这种灾难性并发症患者的康复策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of musculoskeletal & neuronal interactions NEUROSCIENCES-PHYSIOLOGY

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Musculoskeletal and Neuronal Interactions (JMNI) is an academic journal dealing with the pathophysiology and treatment of musculoskeletal disorders. It is published quarterly (months of issue March, June, September, December). Its purpose is to publish original, peer-reviewed papers of research and clinical experience in all areas of the musculoskeletal system and its interactions with the nervous system, especially metabolic bone diseases, with particular emphasis on osteoporosis. Additionally, JMNI publishes the Abstracts from the biannual meetings of the International Society of Musculoskeletal and Neuronal Interactions, and hosts Abstracts of other meetings on topics related to the aims and scope of JMNI.