Neoplastic vs. traumatic spinal cord injury: An inpatient rehabilitation comparison

William O. McKinley*, Mark E. Huang, Michael A. Tewksbury

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

64 Scopus citations

Abstract

Objective: To compare demographics, injury characteristics, and functional outcomes of patients with neoplastic spinal cord compression with those with traumatic spinal cord injuries. Design: A prospective 5-yr comparison was undertaken comparing 34 patients with neoplastic spinal cord compression with 159 patients with traumatic spinal cord injury. Results: Patients with neoplastic spinal cord compression were significantly older, more often female, and unemployed than patients with traumatic spinal cord injury. Neoplastic spinal cord compression presented more often with paraplegia involving the thoracic spine, and injuries were more often incomplete compared with traumatic spinal cord injury. Patients with neoplastic spinal cord compression had a significantly shorter rehabilitation length of stay compared with those with traumatic spinal cord injury. The neoplastic group had significantly lower FIM change scores. Both groups had similar FIM efficiencies and discharge to home rates. Conclusions: Patients with neoplastic spinal cord compression have different demographic and injury characteristics but can achieve comparable rates of functional gains as their traumatic spinal cord injury counterparts. Although patients with traumatic injuries achieve greater functional improvement, patients with neoplasms have a shorter rehabilitation length of stay and comparable FIM efficiencies and home discharge rates.

Original languageEnglish (US)
Pages (from-to)138-144
Number of pages7
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume79
Issue number2
DOIs
StatePublished - Mar 1 2000

Keywords

  • Cancer
  • Functional Outcome
  • Neoplastic Spinal Cord Compression
  • Rehabilitation
  • Spinal Cord Injury

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Fingerprint Dive into the research topics of 'Neoplastic vs. traumatic spinal cord injury: An inpatient rehabilitation comparison'. Together they form a unique fingerprint.

Cite this