Objectives

To identify the demographic and clinical characteristics of patients with transverse myelitis (TM) and to compare functional status between those patients and a matched group with traumatic spinal cord injury (T-SCI).

Study Design

Retrospective study.

Setting

A tertiary rehabilitation hospital

Participants

The demographic and clinical characteristics of 484 T-SCI patients and 25 TM patients were compared. Functional status was further analyzed by matching the two groups.

Outcome Measurements

The matched patients were compared in terms of motor and sensory functions, bladder and bowel symptoms, ambulation level, the Rivermead Mobility Index, and SCI-related medical complications.

Results

The mean age of the TM patients was 35.6 years and was similar to that of the T-SCI patients. There were significantly more females in the TM group (P = 0.017). Individuals with TM had fewer cervical injuries (P = 0.032) and a higher rate of paraplegia (P = 0.047) and were more often incomplete (P = 0.009) than those with T-SCI. Sensory function was significantly better in the TM group compared to the matched T-SCI group (P = 0.05). Independent ambulation frequency was higher in the TM patients. The SCI-related complications seen in the TM group were as common as those in the T-SCI group.

Conclusion

The TM and T-SCI groups differed in terms of the demographic and clinical characteristics recorded. Additionally, when matched for these differences, functional status was slightly better in the TM group. However, like T-SCI, TM was a significant cause of disability and SCI-related complications were common.

中文翻译：

---

横贯性脊髓炎和创伤性脊髓损伤患者的人口统计学和临床​​特征：一项比较回顾性研究

目标

确定横贯性脊髓炎 (TM) 患者的人口统计学和临床​​特征，并比较这些患者与创伤性脊髓损伤 (T-SCI) 匹配组的功能状态。

学习规划

回顾性研究。

环境

三级康复医院

参加者

比较了 484 名 T-SCI 患者和 25 名 TM 患者的人口统计学和临床​​特征。通过匹配两组进一步分析功能状态。

结果测量

匹配的患者在运动和感觉功能、膀胱和肠道症状、行走水平、Rivermead 活动指数和 SCI 相关的医疗并发症方面进行了比较。

结果

TM 患者的平均年龄为 35.6 岁，与 T-SCI 患者的平均年龄相似。TM 组中的女性明显更多 (P = 0.017)。与 T-SCI 患者相比，TM 患者的颈椎损伤较少 (P = 0.032)，截瘫发生率较高 (P = 0.047)，并且不完全性 (P = 0.009) 更常见。与匹配的 T-SCI 组相比，TM 组的感觉功能明显更好 (P = 0.05)。TM 患者的独立行走频率较高。TM 组的 SCI 相关并发症与 T-SCI 组一样常见。

结论

TM 和 T-SCI 组在记录的人口统计学和临床​​特征方面有所不同。此外，当匹配这些差异时，TM 组的功能状态略好。然而，与 T-SCI 一样，TM 是导致残疾的重要原因，并且 SCI 相关并发症很常见。