Chronic complications of spinal cord injury

World J Orthop, 2015 · DOI: 10.5312/wjo.v6.i1.24 · Published: January 18, 2015

Simple Explanation

Spinal cord injury (SCI) can lead to lifelong disability, and the resulting long-term complications can significantly reduce community participation and quality of life. Awareness and management of chronic SCI complications are essential for recovery and rehabilitation. This review provides an overview of chronic complications following spinal cord injury.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Not specified

Key Findings

1
Respiratory complications are a leading cause of morbidity and mortality in both acute and chronic stages of SCI.
2
Individuals with SCI face a high risk of cardiovascular complications such as orthostatic hypotension and autonomic dysreflexia.
3
Neurogenic bowel is a common complication in patients with SCI, affecting nearly half of those with SCI and impacting quality of life.

Research Summary

Spinal cord injury (SCI) is a serious medical condition that causes functional, psychological and socioeconomic disorder. The goals of rehabilitation and other treatment approaches in SCI are to improve functional level, decrease secondary morbidity and enhance health-related quality of life. The purpose of this review is to provide an overview of risk factors, signs, symptoms, prevention and treatment approaches for secondary long-term complications in patients with SCI.

Practical Implications

Improved Rehabilitation Strategies

Understanding chronic complications allows for targeted rehabilitation programs.

Enhanced Patient Education

Educating patients and caregivers about potential complications improves management and prevention.

Proactive Clinical Management

Early diagnosis and treatment of complications can improve survival and quality of life.

Study Limitations

1
Limited availability of standardized treatment guidelines for some complications like osteoporosis.
2
Uncertainty in the pathogenesis of spasticity post-SCI.
3
Variability in pain experiences, making standardized treatment difficult.

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