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Incomplete Traumatic Quadriplegia: Title and subTitle BreakA Ten-Year Review FREE

Albert Bosch, MD; E. Shannon Stauffer, MD; Vernon L. Nickel, MD
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Read before the Section on Orthopedic Surgery at the 119th annual convention of the American Medical Association, Chicago, June 22, 1970.

Reprint requests to 7601 E Imperial Hwy, Downey, Calif 90242 (Dr. Stauffer).


JAMA. 1971;216(3):473-478. doi:10.1001/jama.1971.03180290049006
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Incomplete quadriplegia following closed injuries to the cervical spine is studied for future prognosis of this increasingly common lesion. Sixty patients were included in this study and classified into one of four clinical syndromes to correlate the different types of quadriplegia to its final outcome. Interest was focused primarily in the return of function to the lower and upper extremities and to rectal and bladder control. This communication concentrates on two major groups—the central spinal cord syndrome and the anterior spinal cord syndrome which, combined, represent 90% of our series. An ambulation follow-up comparison is made of central cord syndrome and anterior cord syndrome. A more accurate prognosis of cervical cord lesions can be established on a statistical basis.

REFERENCES

Howorth B, Petrie G: Injuries of the Spine Baltimore, Williams & Wilkins Co, 1964;, pp 1-59.
Michaelis LS:  International inquiry on neurological terminology and prognosis in paraplegia and tetraplegia . Paraplegia 7: 1-5, 1969;.
Elliott HC: Textbook of Neuroanatomy , (ed 2). Philadelphia, JB Lippincott Co, 1969;,  chap 7 and 23 .
Romanes GJ: Arterial blood supply of the spinal cord: Spinal injuries . Edinburgh, Royal College of Surgeons, 1963;, pp 1-9.
Schneider RC, Cherry G, Pantek H:  The syndrome of acute central cervical spinal cord injury . J Neurosurg 11:546-577, 1954;.
Schneider RC, Knighton R:  Chronic neurological sequelae of acute trauma to the spine and spinal cord, part 3 . J Bone Joint Surg 41:905-919, 1959;.
Schneider RC:  The syndrome of acute anterior spinal cord injury . J Neurosurg 12:95-122, 1955;.
Schneider RC, Cherry G, Pantek H:  Vertebral artery insufficiency in acute and chronic spinal trauma . J Neurosurg 18:348-360, 1961;.

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Howorth B, Petrie G: Injuries of the Spine Baltimore, Williams & Wilkins Co, 1964;, pp 1-59.
Michaelis LS:  International inquiry on neurological terminology and prognosis in paraplegia and tetraplegia . Paraplegia 7: 1-5, 1969;.
Elliott HC: Textbook of Neuroanatomy , (ed 2). Philadelphia, JB Lippincott Co, 1969;,  chap 7 and 23 .
Romanes GJ: Arterial blood supply of the spinal cord: Spinal injuries . Edinburgh, Royal College of Surgeons, 1963;, pp 1-9.
Schneider RC, Cherry G, Pantek H:  The syndrome of acute central cervical spinal cord injury . J Neurosurg 11:546-577, 1954;.
Schneider RC, Knighton R:  Chronic neurological sequelae of acute trauma to the spine and spinal cord, part 3 . J Bone Joint Surg 41:905-919, 1959;.
Schneider RC:  The syndrome of acute anterior spinal cord injury . J Neurosurg 12:95-122, 1955;.
Schneider RC, Cherry G, Pantek H:  Vertebral artery insufficiency in acute and chronic spinal trauma . J Neurosurg 18:348-360, 1961;.
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