Short Tilte:Rehabilitation outcome of individuals with nontraumatic myelopathy resulting from spinal stenosis
Journal:Journal of Spinal Cord Medicine
Year, Volume, Issue, Page(s):98, 21, 2, 131-136
Study examines outcomes from 46 patients (19 cervical; 27 lumbar) following surgical decompression for myelopathy or cauda equina syndrome resulting from spinal stenosis (SS). Compared to patients with traumatic spinal cord injury (SCI), patients with SS were significantly older (mean age 68 vs. 39 years), more frequently retired/unemployed (89% vs. 43%), more often married (56% vs. 36%), and less often male (54% vs. 82%) but with similar ethnicity. Signficant changes in Functional Independent Measurement (FIM) scores were noted after rehabilitation for the SS patients in the categories of self-care, sphincter control, and mobility/locomotion. Additionally, outcome comparisons with a group of traumatic SCI patients who had similar motor function revealed similar lengths of stay, discharge FIM scores, and discharge-to-community rates. These results indicate that individuals with weakness secondary to SS represent a significant portion of individuals with SCI, make significant functional gains following rehabilitation, and achieve similar functional outcomes compared to individuals with traumatic SCI.