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Chronic Spinal Cord Injury

1994; Massachusetts Medical Society; Volume: 330; Issue: 8 Linguagem: Inglês

10.1056/nejm199402243300808

1533-4406

John F. Ditunno, Christopher S. Formal,

Nerve Injury and Rehabilitation

In 1927 Harvey Cushing described the outcome for soldiers with spinal cord injuries sustained during World War I: "Fully 80 percent died in the first few weeks in consequence of infection from bedsores and catheterization. . . . Only those cases survived in which the spinal cord lesion was a partial one"1. Today, this picture has been completely reversed, and in well-organized systems of care for trauma and spinal cord injuries 94 percent of patients survive the initial hospitalization2,3. National data on people with spinal cord injuries suggest a population of over 200,000, which will increase each . . .