Influence of Diabetes Mellitus on Neurological Recovery in Older Patients With Cervical Spinal Cord Injury Without Bone Injury: A Retrospective Multicenter Study

This study investigates how diabetes mellitus affects neurological recovery in older patients with cervical spinal cord injury (CSCI) without bone injury. The research involved a retrospective analysis of 389 patients aged 65 years and older, comparing neurological outcomes between diabetic and non-diabetic individuals after a cervical spinal cord injury without bone injury. The study also examined the impact of moderate-severe diabetes, defined by hemoglobin A1c levels or insulin treatment, on the neurological recovery of these patients.

• 1
  Diabetic patients with CSCI without bone injury achieved similar neurological function improvements compared to non-diabetic patients.
• 2
  Moderate-severe diabetes did not significantly affect neurological recovery in patients with CSCI without bone injury.
• 3
  Age, dementia, and baseline total ASIA motor scores (AMS) were identified as negative predictors of neurological recovery at 6 months post-injury.