title: Advanced Hip Osteoarthritis Causing Autonomic Dysreflexia and Severe Spasticity in a Patient With Spinal Cord Injury: A Case Report.
abstract: The life expectancy of persons with spinal cord injury (SCI) is increasing due to advances in medicine and technology. As a result, there is a higher incidence of age-associated illnesses in this population. Degenerative joint disease is a common age-associated illness that causes pain and thus, in persons with SCI above the T6 level, can serve as a noxious stimulus to trigger autonomic dysreflexia (AD). This is a case report of severe bilateral hip osteoarthritis (OA) causing unyielding AD in a person with tetraplegia leading to bilateral girdle stone surgeries. Hip OA as an etiology for AD has not previously been reported and is important to recognize as this population continues to age and to develop age-associated diseases.
  
  
  METHODS
  V.
authors.affiliation: Department of Rehabilitation, University of Texas Health Science Center of San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229(∗). Electronic address: bickelhaupt@uthscsa.edu.
authors.forename: Brittany
authors.initials: B
authors.lastname: Bickelhaupt
authors.affiliation: Department of Rehabilitation, University of Texas Health Science Center of San Antonio, San Antonio, TX(†).
authors.forename: Megan
authors.initials: M
authors.lastname: Richard
authors.affiliation: Spinal Cord Injury Center, Audie L. Murphy Veteran's Affairs Medical Center, San Antonio, TX(‡).
authors.forename: Michelle
authors.initials: M
authors.lastname: Trbovich
mesh_terms: D020211:Autonomic Dysreflexia / Q000150:complications* / Q000175:diagnosis / Q000534:rehabilitation; D002574:Cervical Vertebrae / Q000293:injuries; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D000076322:Multimorbidity; D015207:Osteoarthritis, Hip / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011782:Quadriplegia / Q000150:complications* / Q000175:diagnosis / Q000534:rehabilitation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications / Q000175:diagnosis