[Neurologic changes in patients with traumatic cord lesion based in the analysis of the sequential clinical history].
OBJECTIVE
To determine changes in neurological status in patients with traumatic cord lesions before and after surgical treatment.


METHODS
We conducted a descriptive cohort study, and measured 61 points of neurologic evaluation (sensory, motor, reflexes) of the Sequential Clinical History.


RESULTS
We studied 28 patients with complete cord lesion (ASIA A) and 16 with incomplete cord lesions (9 ASIA B, 4 ASIA C, and 3 ASIA D). In the patients classified as ASIA-A, twenty-six did not change, and 2 had improvement in one neurologic level (sensory). In ASIA-B patients, four remained with no changes, and in 5 the lesion improved. The four patients with type C lesion, improved. All patients with ASIA-D, improved to ASIA-E.


CONCLUSIONS
In patients with complete cord lesions (ASIA-A) and the worst prognosis, we did not find improvement in neurologic lesion. In incomplete cord injuries, improvement was variable, and it was more prevalent in preoperative period.
Martínez-Padilla
Luis Alberto
LA
Médico egresado del Curso de Postgrado para Médicos Especialistas en Cirugia de Columna Vertebral, Hospital General La Villa, SSDF. luismtz_ort@yahoo.com.mx
Dufoo-Olvera
Manuel
M
García-López
Ozcar Felipe
OF
López-Palacios
José de Jesús
Jde J
Carranco-Toledo
Gabriel Alfonso
GA
Aburto-Trejo
José Antonio
JA
D003943:Diagnostic Techniques, Neurological; D006801:Humans; D008137:Longitudinal Studies; D008499:Medical Records; D013119:Spinal Cord Injuries / Q000503:physiopathology*