脊椎ジャーナル

Around 25% of all intradural spinal tumors are well-characterized spinal meningioma, which are typically intradural extra medullary tumours. The purpose of this study was to compare the postoperative functional outcomes of spinal meningioma patients who had undergone surgery over two time periods. A historic cohort (HC;) of patients with spinal meningiomas who were admitted to our department between 1990 and 2020 was enrolled and divided. Treatment from 1990 to 2007) and a current group. Up to five years in the past, the clinical data, surgical reports and radiological reports of patients were analysed. The McCormick Scale (mMCS) was used to measure neurological function before and after surgery. The Charlson Comorbidity Index (CCI) was utilized to assess the impact of comorbidities on both the preoperative state and the outcome of the surgery.Results:300 people were our patients. There were twice as many patients in the CC (n = 144) who were under 50 years of age (p 0.001) than there were in the HC (n = 156).(n = 204) The thoracic spine was the most common location for tumours. The middle follow-up was 38.1 months (±30.3 standard deviation).An earlier improvement in the mMCS was significantly associated with a symptom duration of less than 12 months prior to surgery (p = 0.045).Patients in the CC had a shorter duration and their neurological function was significantly better at the first and last follow-ups than in the HC. The findings of our study suggested that surgical management and postoperative rehabilitation have had a significant impact on spinal meningioma patients' long-term neurological outcomes over the past few decades. Patients' neurological recovery after surgery improved as a result of a quicker diagnosis and earlier surgical treatment. Our findings demonstrated that spinal meningioma surgery should be performed within a year of the onset of symptoms to improve recovery.

Locomotors training, also known as LT, is a form of task-specific, repetitive training that includes intense exercises that help neuromuscular reorganization and sensorimotor stimulation. The purpose of this study was to determine whether LT could be safely started in tetraplegic C1–C5 IVDD—Hansen type I dogs within three to fifteen days of surgery. This prospective, blinded clinical study included 114 grade 1 (MFS/OFS) dogs from two rehabilitation centers in Portugal. The dogs were divided into the SHG (spinal hyperesthesia group) (n=74) and the NSHG (non-spinal hyperesthesia group) (n=40) based on the presence of spinal hyperesthesia. Three observers evaluated the dogs at each time point for two weeks using a neuro rehabilitation checklist to see if there was an inter-agreement Within 15 days, LT was safely applied to 62.3% of OFS 11 and 32.4 % of these patients achieved an OFS 13.In the NSHG, there were no new cases of hyperesthesia and all of the SHG patients recovered. When groups were compared, there was a significant difference in their capacity to attain ambulatory status (p 0.001), between the presence of hyperesthesia and the number of days until ambulation (p 0.006) and at each time point (p 0.001;R2=0.809).These dogs may benefit from early LT, which should be administered within the first three days. The rehabilitation team should place a high priority on spinal hyperesthesia. The research should continue.