Advances in the Clinical Treatment of Adult Spinal Cord Injury and Rehabilitation Medicine

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Neurology".

Deadline for manuscript submissions: closed (15 August 2023) | Viewed by 2856

Special Issue Editor


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Guest Editor
Clinic and Polyclinic for Trauma Surgery, University Hospital Regensburg, Regensburg, Germany
Interests: trauma surgery; fracture; orthopedics; spine surgery; spine research
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Traumatic spinal cord injury (SCI) is one of the most feared complications of spinal fractures and almost always leads to massive impairment. The socioeconomic burden can be considered enormous, and the rehabilitation demands are high. Therefore, close cooperation between the acute care hospital and the rehabilitation facility is crucial for effective therapy. The importance of early surgical intervention and decompression has been broadly acknowledged, and the dictum “time is spine” is well established.

 [*] Aim and scope of the Special Issue:

The aim and scope of this Special Issue of Medicina is to disseminate the most important information about the latest therapeutic and rehabilitation methods, their interconnection, and innovative diagnostic and prognostic tools. In the field of spinal cord injury, high-quality preclinical research and innovative development are advancing to further improve patient care and outcomes, and to contribute to enhancing today's postoperative care and rehabilitation.

[*] Cutting-edge research:

  • Role of novel diagnostic and surgical techniques in optimizing clinical outcomes.
  • Development of modulators for neuroprotection.
  • Introduction of novel outcome prediction models based on new digital technologies.
  • Biological and biotechnological approaches to neuronal regeneration.
  • Case-based rehabilitation models tailored to patient needs.

[*] What kind of papers we are soliciting:

We are soliciting both authors' own work and review papers.

Dr. Siegmund Lang
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • spinal cord injury
  • surgery
  • rehabilitation
  • epidemiology
  • big data
  • outcome prediction
  • regeneration
  • neuroprotection
  • biomarker
  • bioengineering

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Published Papers (1 paper)

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8 pages, 913 KiB  
Case Report
Neurophysiological Effects of Electrical Stimulation on a Patient with Neurogenic Bowel Dysfunction and Cauda Equina Syndrome after Spinal Anesthesia: A Case Report
by Seung-Kyu Lim, Chang Han Lee, Min-Kyun Oh and Se-Woong Chun
Medicina 2023, 59(3), 588; https://doi.org/10.3390/medicina59030588 - 16 Mar 2023
Cited by 1 | Viewed by 2598
Abstract
Neurogenic bowel dysfunction (NBD) is common in patients with cauda equina syndrome (CES). Previous studies have reported that electrical stimulation (ES) improves NBD but more neurophysiologic evidence is required. This case report describes a patient who experienced difficulty with defecation as a result [...] Read more.
Neurogenic bowel dysfunction (NBD) is common in patients with cauda equina syndrome (CES). Previous studies have reported that electrical stimulation (ES) improves NBD but more neurophysiologic evidence is required. This case report describes a patient who experienced difficulty with defecation as a result of cauda equina syndrome (CES) that developed after a cesarean section performed 12 years ago under spinal anesthesia. The neurophysiological effects were assessed using the bulbocavernosus reflex (BCR) and electromyography (EMG). Two ES treatments, interferential current therapy and transcutaneous electrical stimulation, were used to stimulate the intestine and the external anal sphincter, respectively. The BCR results showed right-side delayed latency and no response on the left side. Needle EMG revealed abnormal spontaneous activities of the bilateral bulbocavernosus (BC) muscles. Electrodiagnostic testing revealed chronic bilateral sacral polyradiculopathy, compatible with CES. After treatment, the patient reported an improved perianal sensation, less strain and time for defecation than before, and satisfaction with her bowel condition. At the follow-up electrodiagnosis, the BCR latency was normal on the right side—needle EMG revealed reductions in the abnormal spontaneous activities of both BC muscles and re-innervation of the right BC muscle. Electrodiagnostic testing can offer insight into the neurophysiological effects of ES, which can help in understanding the mechanism of action and optimizing the therapy for patients with NBD. Full article
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