![]() ![]() The patterns of neurological recovery after traumatic spinal cord injury (SCI) may influence acute management decisions, guide prognosis discussions, help establish functional goals, and aid in the development of individualized rehabilitation programs. ![]() There are insufficient data to support gender having a major effect on neurological recovery after SCI. Penetrating injury is more likely to lead to a classification of a neurological complete injury compared with blunt trauma and reduces the likelihood of AIS conversion at one year. ![]() Older age has a negative impact on neurological and functional recovery after SCI however, the specific age (whether >50 or >65 years) and underlying reasons for this impact are unclear. Total motor recovery is greater for patients with initial AIS B than AIS A, and greater after initial AIS C than with motor complete injuries. Motor score changes, as well as recovery of motor levels, are described with the initial strength of muscles as well as the levels of the motor zone of partial preservation influencing the prognosis. The majority of AIS conversion and motor recovery occurs within the first 6–9 months, with the most rapid rate of motor recovery occurring in the first three months after injury. Conversion from a complete to incomplete injury is more common in tetraplegia than paraplegia. This article reviews and synthesizes published data on neurological recovery from multiple sources, only utilizing data in which the sacral sparing definition was applied for determination of completeness. These measures have evolved based on analyses of large amounts of longitudinal neurological recovery data published in numerous separate studies. The predominant tool used to predict outcomes after traumatic spinal cord injury (SCI) is the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), in association with the American Spinal Injury Association (ASIA) Impairment Scale (AIS). ![]()
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