title: [Neurologic changes in patients with traumatic cord lesion based in the analysis of the sequential clinical history].
abstract: 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.
authors.affiliation: Médico egresado del Curso de Postgrado para Médicos Especialistas en Cirugia de Columna Vertebral, Hospital General La Villa, SSDF. luismtz_ort@yahoo.com.mx
authors.forename: Luis Alberto
authors.initials: LA
authors.lastname: Martínez-Padilla
authors.forename: Manuel
authors.initials: M
authors.lastname: Dufoo-Olvera
authors.forename: Ozcar Felipe
authors.initials: OF
authors.lastname: García-López
authors.forename: José de Jesús
authors.initials: Jde J
authors.lastname: López-Palacios
authors.forename: Gabriel Alfonso
authors.initials: GA
authors.lastname: Carranco-Toledo
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Aburto-Trejo
mesh_terms: D003943:Diagnostic Techniques, Neurological; D006801:Humans; D008137:Longitudinal Studies; D008499:Medical Records; D013119:Spinal Cord Injuries / Q000503:physiopathology*