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Spinal Cord Injury in the Elderly and Aging of Spinal Cord Injuries

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A Practical Guide to Care of Spinal Cord Injuries
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Abstract

This chapter addresses the issue of increasing age of traumatic spinal cord injury patients and the impact of aging on their health and life expectancy. The chapter begins by discussing the lack of significant improvement in life expectancy for spinal cord injury patients despite advances in medical care since the 1980s. This is particularly concerning as the general population is aging, and the life expectancy gap between spinal cord injury patients and the general population is widening. The chapter examines the reasons for the increasing incidence of spinal cord injuries in the elderly, including falls and age-related degenerative changes in the spine. It also discusses the various factors that contribute to the aging process in patients with spinal cord injuries, such as changes in body composition, decreased bone mineral density and increased cardiovascular risk factors. The chapter highlights the unique concerns regarding the aging of spinal cord injury patients who sustain their injuries in childhood or young adulthood, such as premature aging and a higher risk of secondary health conditions. Overall, this chapter provides valuable insights into the complex and challenging issues surrounding spinal cord injuries in the elderly and highlights the need for specialized care and attention to address these concerns.

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References

  • Badhiwala JH, Ahuja CS, Akbar MA, et al. Degenerative cervical myelopathy—update and future directions. Nat Rev Neurol. 2020;16:108–24.

    Article  PubMed  Google Scholar 

  • Baron EM, Young WF. Cervical spondylotic myelopathy: a brief review of its pathophysiology, clinical course, and diagnosis. Neurosurgery. 2007;60(1 Supp1 1):S35–41.

    PubMed  Google Scholar 

  • Bracken MB, Freeman DH Jr, Hellenbrand K. Incidence of acute traumatic hospitalized spinal cord injury in the United States, 1970-1977. Am J Epidemiol. 1981;113:615–22.

    Article  CAS  PubMed  Google Scholar 

  • Breig A, El-Nadi AF. Biomechanics of the cervical spinal cord. Relief of contact pressure on and overstretching of the spinal cord. Acta Radiol Diagn (Stockh). 1966;4:602–24.

    Article  CAS  PubMed  Google Scholar 

  • Breig A, Turnbull I, Hassler O. Effects of mechanical stresses on the spinal cord in cervical spondylosis. A study on fresh cadaver material. J Neurosurg. 1966;25:45–56.

    Article  CAS  PubMed  Google Scholar 

  • Capoor J, Stein AB. Aging with spinal cord injury. Phys Med Rehabil Clin N Am. 2005;16:129–61.

    Article  PubMed  Google Scholar 

  • Charlifue S, Jha A, Lammertse D. Aging with spinal cord injury. Phys Med Rehabil Clin N Am. 2010;21:383–402.

    Article  PubMed  Google Scholar 

  • Charlifue S, Lammertse DP, Adkins RH. Aging with spinal cord injury: changes in selected health indices and life satisfaction. Arch Phys Med Rehabil. 2004;85:1848–53.

    Article  PubMed  Google Scholar 

  • Chen Y, Tang Y, Allen V, et al. Aging and spinal cord injury: external causes of injury and implications for prevention. Top Spinal Cord Inj Rehabil. 2015;21:218–26.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen Y, Tang Y, Vogel LC, et al. Causes of spinal cord injury. Top Spinal Cord Inj Rehabil. 2013;19:1–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Como JJ, Samia H, Nemunaitis GA, et al. The misapplication of the term spinal cord injury without radiographic abnormality (SCIWORA) in adults. Acute Care Surg. 2012;73:1261–6.

    Article  Google Scholar 

  • DeVivo MJ. Epidemiology of traumatic spinal cord injury: trends and future implications. Spinal Cord. 2012;50:365–72.

    Article  CAS  PubMed  Google Scholar 

  • DeVivo MJ, Chen Y. Trends in new injuries, prevalent cases and aging with spinal cord injury. Arch Phys Med Rehabil. 2011;92:332–8.

    Article  PubMed  Google Scholar 

  • Fassett DR, Harrop JS, Maltenfort M, et al. Mortality rates in geriatric patients with spinal cord injuries. J Neurosurg Spine. 2007;7:277–81.

    Article  PubMed  Google Scholar 

  • Frontera JE, Mollett P. Aging with spinal cord injury: an update. Phys Med Rehabil Clin N Am. 2017;28:821–8.

    Article  PubMed  Google Scholar 

  • Furlan JC, Kattail D, Fehlings MG. The impact of comorbidities on age-related differences in mortality after acute traumatic spinal cord injury. J Neurotrauma. 2009;26:1361–7.

    Article  PubMed  Google Scholar 

  • Groah SL, Stiens SA, Gittler MS, et al. Spinal cord injury medicine. 5. Preserving wellness and independence of the aging patient with spinal cord injury: a primary care approach for the rehabilitation medicine specialist. Arch Phys Med Rehabil. 2002;83(3 suppl 1):S82–9, S90–8.

    Article  PubMed  Google Scholar 

  • Henderson FC, Geddes JF, Vaccaro AR, et al. Stretch-associated injury in cervical spondylotic myelopathy: new concept and review. Neurosurgery. 2005;56:1101–13.

    PubMed  Google Scholar 

  • Jabbour P, Fehlings M, Vaccaro AR, et al. Traumatic spine injuries in the geriatric population. Neurosurg Focus. 2008;25:E16.

    Article  PubMed  Google Scholar 

  • Karadimas SK, Erwin WM, Ely CG, et al. Pathophysiology and natural history of cervical spondylotic myelopathy. Spine (Phila Pa 1976). 2013;38:S21–36.

    Article  PubMed  Google Scholar 

  • Kasimatis GB, Panagiotopoulos E, Megas P, et al. The adult spinal cord injury without radiographic abnormalities syndrome: magnetic resonance imaging and clinical findings in adults with spinal cord injuries having normal radiographs and computed tomography studies. J Trauma. 2008;65:86–93.

    PubMed  Google Scholar 

  • Klineberg E. Cervical spondylotic myelopathy: a review of the evidence. Orthop Clin North Am. 2010;41:193–202.

    Article  PubMed  Google Scholar 

  • Middleton JW, Dayton A, Walsh J, et al. Life expectancy after spinal cord injury: a 50-year study. Spinal Cord. 2012;50:803–11.

    Article  CAS  PubMed  Google Scholar 

  • Moghaddamjou A, Badhiwala JH, Fehlings MG. Degenerative cervical myelopathy: changing frontiers. World Neurosurg. 2020;135:377–8.

    Article  PubMed  Google Scholar 

  • National Spinal Cord Injury Statistical Center (NSCISC). The 2020 annual statistical report for the spinal cord model systems. Birmingham: University of Alabama at Birmingham; 2021. https://www.nscisc.uab.edu. Accessed Sept 2021.

    Google Scholar 

  • Nikolaidis I, Fouyas IP, Sandercock PA, et al. Surgery for cervical radiculopathy or myelopathy. Cochrane Database Syst Rev. 2010;2010:CD001466.

    PubMed  PubMed Central  Google Scholar 

  • Nouri A, Tetreault L, Singh A, et al. Degenerative cervical myelopathy: epidemiology, genetics, and pathogenesis. Spine (Phila Pa 1976). 2015;40:E675–93.

    Article  PubMed  Google Scholar 

  • Schneider RC, Cherry G, Pantek H. The syndrome of acute central cervical spinal cord injury; with special reference to the mechanisms involved in hyperextension injuries of cervical spine. J Neurosurg. 1954;11:546–77.

    Article  CAS  PubMed  Google Scholar 

  • Schneider RC, Thompson JM, Bebin J. The syndrome of acute central cervical spinal cord injury. J Neurol Neurosurg Psychiatry. 1958;21:216.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shavelle RM, DeVivo MJ, Brooks JC, et al. Improvements in long-term survival after spinal cord injury? Arch J Phys Med Rehabil. 2015a;96:645–51.

    Article  Google Scholar 

  • Shavelle RM, Paculdo DR, Tran LM, et al. Mobility, continence, and life expectancy in persons with ASIA impairment scale grade D spinal cord injuries. Am J Phys Med Rehabil. 2015b;94:180–91.

    Article  PubMed  Google Scholar 

  • Shedid D, Benzel EC. Cervical spondylosis anatomy: pathophysiology and biomechanics. Neurosurgery. 2007;60:S7–13.

    Article  PubMed  Google Scholar 

  • Smith S, Purzner T, Fehlings M. The epidemiology of geriatric spinal cord injury. Top Spinal Cord Inj Rehabil. 2010;15:54–64.

    Article  Google Scholar 

  • Stern M. Neurogenic bowel and bladder in an old adult. Clin Geriatr Med. 2006;22:311–30; ix.

    Article  PubMed  Google Scholar 

  • Sweeney PJ. Clinical evaluation of cervical radiculopathy and myelopathy. Neuroimaging Clin N Am. 1995;5:321–7.

    CAS  PubMed  Google Scholar 

  • Tavee JO, Levin KH. Myelopathy due to degenerative and structural spine diseases. Continuum (Minneap Minn). 2015;21:52–66.

    PubMed  Google Scholar 

  • Weingarden SI, Graham PM. Falls resulting in spinal cord injury: patterns and outcomes in an older population. Paraplegia. 1989;27:423–7.

    CAS  PubMed  Google Scholar 

  • Whiteneck GG, Charlifue SW, Frankel HL, et al. Mortality, morbidity, and psychosocial outcomes of persons spinal cord injured more than 20 years ago. Paraplegia. 1992;30:617–30.

    CAS  PubMed  Google Scholar 

  • Yamaguchi S, Mitsuhara T, Abiko M, et al. Epidemiology and overview of the clinical spectrum of degenerative cervical myelopathy. Neurosurg Clin N Am. 2018;29:1–12.

    Article  CAS  PubMed  Google Scholar 

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Ko, HY. (2023). Spinal Cord Injury in the Elderly and Aging of Spinal Cord Injuries. In: A Practical Guide to Care of Spinal Cord Injuries. Springer, Singapore. https://doi.org/10.1007/978-981-99-4542-9_38

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  • DOI: https://doi.org/10.1007/978-981-99-4542-9_38

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-4541-2

  • Online ISBN: 978-981-99-4542-9

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