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The aim of this study was to epidemiologically evaluate patients diagnosed with spinal cord injury who were admitted to our clinic over the last five years and, unlike similar studies, to investigate the presence of complications in these patients. The investigators hope that this study will contribute to the literature by raising awareness of spinal cord injury epidemiology and potential complications.
This study was designed as a retrospective descriptive study. Patients who were admitted to the Physical Medicine and Rehabilitation outpatient clinic of Bandırma Training and Research Hospital with a diagnosis of paraplegia or tetraplegia between December 1, 2020, and December 1, 2025, were included in the study. These diagnoses were screened using the following ICD-10 codes: G82 (paraplegia and tetraplegia), G82.0 (flaccid paraplegia), G82.1 (spastic paraplegia), G82.2 (paraparesis and paraplegia, unspecified), G82.3 (flaccid tetraplegia), G82.4 (spastic tetraplegia), and G82.5 (tetraplegia, unspecified).
Data regarding patients' age, sex, etiology of spinal cord injury, level of injury, and the presence of complications were recorded. In cases where complications were present, the time from injury to the development of complications was recorded in months.
Since the most common causes of spinal cord injury differ across age groups, age categories were defined as ≤29 years, 30-44 years, 45-59 years, 60-74 years, and ≥75 years. Etiological classification was based on the most common causes reported in the literature, including traffic accidents, falls from height, sports-related injuries, post-disc herniation or surgery, non-traumatic/inflammatory causes, and other causes.
As the level of injury affects both clinical presentation and the development of complications, injury levels were categorized as cervical (C1-C8), thoracic (T1-T12), and lumbosacral (L1-S5). Evaluation parameters and grouping methods were determined based on similar studies reported in the literature.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients who presented to our clinic with SCI between December 1, 2020, and December 1, 2025 | Patients who presented to our hospital's Physical Medicine and Rehabilitation outpatient clinic with diagnoses of paraplegia and tetraplegia between December 1, 2020, and December 1, 2025. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Retrospective data analysis | Other | Patient data regarding age, gender, etiology of spinal cord injury, level of injury, and whether complications develop will be recorded. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Average age and gender of patients followed up in our clinic due to spinal cord injury | -Average age and gender of patients followed up in our clinic due to spinal cord injury | 1 month |
| Etiology of injury in patients followed up in our clinic due to spinal cord injury | Etiology of injury in patients followed up in our clinic due to spinal cord injury
| 1 month |
| Stage of injury in patients followed up in our clinic due to spinal cord injury | -Stage of injury in patients followed up in our clinic due to spinal cord injury
| 1 month |
| Whether or not complications developed in patients followed up in our clinic due to spinal cord injury | -Whether or not complications developed in patients followed up in our clinic due to spinal cord injury These complications include: Pressure ulcer, Urinary tract infection, Deep vein thrombosis, Joint contracture, Osteoporosis/fracture, Spasticity, Autonomic dysreflexia, Psychological problems, Sexual problems, Charcot joint, Urethral stricture, Post-traumatic syringomyelia, Heterotopic ossification, Other systemic problems (respiratory problems, cardiac problems, gastrointestinal problems, metabolic and endocrine problems). | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| the time when the complication developed | - In patients followed up in our clinic due to spinal cord injury who developed complications, the time when the complication developed. | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who presented to our hospital's Physical Medicine and Rehabilitation outpatient clinic with diagnoses of paraplegia and tetraplegia between December 1, 2020, and December 1, 2025.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nurten NAS KIRDAR, Assistant Professor | Contact | +905415511691 | nkirdar@bandirma.edu.tr | |
| Naime Meriç KONAR EROL, Associate Professor | Contact | mkonar@bandirma.edu.tr |
| Name | Affiliation | Role |
|---|---|---|
| Nurten Nas Kırdar, Assistant Professor | Bandırma Onyedi Eylül University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bandırma Onyedi Eylul University Faculty of Medicine | Balıkesir | Bandırma | 10200 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39137737 | Background | Josefson C, Rekand T, Lundgren-Nilsson A, Sunnerhagen KS. Epidemiology of Spinal Cord Injury in Adults in Sweden, 2016-2020: A Retrospective Registry-Based Study. Neuroepidemiology. 2025;59(4):334-342. doi: 10.1159/000540818. Epub 2024 Aug 13. | |
| 27084266 | Background | Bombardier CH, Lee DC, Tan DL, Barber JK, Hoffman JM. Comorbid Traumatic Brain Injury and Spinal Cord Injury: Screening Validity and Effect on Outcomes. Arch Phys Med Rehabil. 2016 Oct;97(10):1628-34. doi: 10.1016/j.apmr.2016.03.008. Epub 2016 Apr 12. |
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If the results of our study are deemed suitable for publication in an appropriate journal after peer review, they will be accessible to all researchers once published.
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| D010264 | Paraplegia |
| D011782 | Quadriplegia |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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| D014947 | Wounds and Injuries |
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |