Safety and effectiveness of thermal radiofrequency applied to the musculocutaneous nerve for patients with spasticity.

Objective: Evaluate safety and effectiveness of thermal radiofrequency in the musculocutaneous nerve in patients with focal elbow flexor spasticity.

Design: Ambispective observational follow-up study. Patients with focal spasticity secondary to central nervous system injury with elbow flexor pattern who received thermal radiofrequency treatment in the musculocutaneous nerve between 2021 and 2023 were included.

Mesenchymal Stem Cell Therapy in Traumatic Spinal Cord Injury: A Systematic Review.

Recovery from a traumatic spinal cord injury (TSCI) is challenging due to the limited regenerative capacity of the central nervous system to restore cells, myelin, and neural connections. Cell therapy, particularly with mesenchymal stem cells (MSCs), holds significant promise for TSCI treatment. This systematic review aims to analyze the efficacy, safety, and therapeutic potential of MSC-based cell therapies in TSCI.

Evaluation of the prognostic value of extra-parenchymal changes in traumatic spinal cord injury, assessed by magnetic resonance imaging.

Objectives: To analyze the relationship between neurological progression following traumatic spinal cord injury and Spinal Cord Compression (SCC) and Spinal Ligamentous Injury (LI) by magnetic resonance imaging.

Design: Retrospective observational study.

Setting: Spinal Cord Injury Unit (A Coruña, Spain).

Prognostic value of early magnetic resonance imaging in the morbidity and mortality of traumatic spinal cord injury.

Objective: To assess in individuals with traumatic spinal cord injury (TSCI) the relationship between mortality and need for ICU and early magnetic resonance imaging (MRI), analyzing spinal parenchymal alterations, disruption of vertebral ligaments (DVL) and spinal cord compression (SCC).

Design: Retrospective study.

Setting: Third-level hospital, Spinal Cord Injury Unit and ICU.

Neurological recovery after traumatic spinal cord injury: prognostic value of magnetic resonance.

Study Design: Retrospective observational study.

Objectives: Assess the relationship between Magnetic Resonance (MR) image patterns and neurological recovery in patients with Traumatic Spinal Cord Injury (TSCI).

Setting: Spinal cord injury unit in Spain.

Clinical characteristics and prognosis of spinal cord injury in individuals over 75 years old.

Objective: To analyze the incidence and characteristics of traumatic spinal cord injury (SCI) in geriatric population of Galicia (Spain), hospital management and functional prognosis METHODS: Comparative retrospective study. Patients admitted with acute traumatic SCI during the time period between January 2010 and December 2016 were included. Two groups established: The elderly over and under 75 years of age, with the latter acting as a control group.

Organ dysfunction as determined by the SOFA score is associated with prognosis in patients with acute traumatic spinal cord injury above T6.

Study Design: This is a retrospective, observational study.

Objectives: To evaluate organ dysfunction in patients with an acute traumatic spinal cord injury (ATSCI) above T6 using the Sequential Organ Failure Assessment (SOFA) score to determine its association with mortality.

Setting: The study was performed at the intensive care unit (ICU) of a tertiary hospital in the northwest of Spain.

Clinical characteristics and prognosis of spinal cord injury in individuals over 75 years old.

Objective: To analyze the incidence and characteristics of traumatic spinal cord injury (SCI) in geriatric population of Galicia (Spain), hospital management and functional prognosis.

Methods: Comparative retrospective study. Patients admitted with acute traumatic SCI during the time period between January 2010 and December 2016 were included.

Product evaluation of Hollister's Onli™ ready-to-use hydrophilic intermittent catheter and adherence to a treatment plan using this catheter.

The primary objective of this product evaluation involved obtaining assessments from patients following the use of the Onli™ intermittent catheter(IC) 17cm and 40cm; and opinions from clinicians on its use for catheterization based on its design features.The inability to access the right catheter is often why patients discontinue intermittent self-catheterization(1). Design factors play an important role in the like lihood of using and remaining compliant to an IC device.

[Spanish consensus document for the diagnosis, treatment and management of neurogenic bladder.].

The purpose of this document is to establish practical recommendations on neurogenic bladder (NB) management based on scientific evidence and medical and nursing perspective in Spinal Cord Injury (SCI) Units as a first multidisciplinary consensual approach in Spain. METHODS: This paper reports results from the first modified Delphi consensus building exercise on this procedure. A committee of recognised opinion-leaders in rehabilitation and urology with special interest in NB was constituted.

A validity study of the Spanish-World Health Organization Quality of Life short version instrument in persons with traumatic spinal cord injury.

Study Design: This was a psychometric study.

Objectives: To determine the validity of the Spanish version of the World Health Organization Quality of Life instrument (WHOQOL-BREF) for its use in persons with traumatic spinal cord injury and, as secondary objectives, to correlate the results with variables such as functional status, psychological well-being, and social support.

Setting: Spinal Cord Injury Unit, Complejo Hospitalario Universitario de A Coruña, Galicia (Spain).

Risks factors of mechanical ventilation in acute traumatic cervical spinal cord injured patients.

Study Design: Descriptive retrospective study.

Objectives: To analyze risk factors associated with mechanical ventilation (MV) in cases of acute traumatic Cervical Spinal Cord Injury (tCSCI).

Setting: Unidad de Lesionados Medulares, Complejo Hospitalario Universitario A Coruña, in Galicia (Spain).

Refractory orthostatic hypotension in a patient with a spinal cord injury: Treatment with droxidopa.

Context: Orthostatic hypotension (OH) is a common complication in patients with a spinal cord injury, mainly affecting complete injuries above neurological level T6. It is generally more severe during the acute phase but can remain symptomatic for several years.

Findings: A 65-year-old male with a grade ASIA A post-traumatic cervical spinal cord injury, at neurological level C4, presenting with symptomatic refractory OH.

Respiratory management in the patient with spinal cord injury.

Spinal cord injuries (SCIs) often lead to impairment of the respiratory system and, consequently, restrictive respiratory changes. Paresis or paralysis of the respiratory muscles can lead to respiratory insufficiency, which is dependent on the level and completeness of the injury. Respiratory complications include hypoventilation, a reduction in surfactant production, mucus plugging, atelectasis, and pneumonia.