Rehabilitation outcome of individuals with nontraumatic myelopathy resulting from spinal stenosis.
A study was undertaken of 46 patients (19 cervical and 27 lumbar) admitted to an inpatient rehabilitation unit following surgical decompression for myelopathy or cauda equina syndrome resulting from spinal stenosis (SS). Individuals with SS represented 16 percent of all spinal cord injury (SCI) admissions. When compared to patients with traumatic SCI, patients with SS were significantly (t-test, p < .01) older (mean age 68 versus 39 years), more frequently retired/unemployed (89 percent versus 43 percent), more often married (57 percent versus 36 percent) and less often male (54 percent versus 82 percent) but with similar ethnicity. Significant (p < .01) Functional Independence Measurement (FIM) changes for the SS patients were noted after rehabilitation 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. This study suggests that individuals with weakness secondary to SS represent a significant proportion of individuals with SCI, make significant functional gains following inpatient rehabilitation and can achieve functional outcomes similar to those of traumatic SCI individuals.
McKinley
W O
WO
Department of Physical Medicine and Rehabilitation, Medical College of Virginia Hospitals/Virginia Commonwealth University, Richmond, VA, USA.
Tellis
A A
AA
Cifu
D X
DX
Johnson
M A
MA
Kubal
W S
WS
Keyser-Marcus
L
L
Musgrove
J J
JJ
D000203:Activities of Daily Living / Q000145:classification; D000328:Adult; D000368:Aged; D002420:Cauda Equina; D003131:Combined Modality Therapy; D019299:Decompression, Surgical / Q000534:rehabilitation; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000534:rehabilitation*; D009460:Neurologic Examination; D013117:Spinal Cord Compression / Q000534:rehabilitation*; D013130:Spinal Stenosis / Q000534:rehabilitation*; D016896:Treatment Outcome