ECTS Abstracts (2015) 1 P420

Patterns of Vertebral Ossifications in Spine of Chronic Spinal Injury Patients

Shamsa Shariatpanahi


shahed university, Tehran, Iran.


Background: ECTS-IBMS 2015Chronic spinal cord injury has an important role in sensorimotor disorders which is associated with many complications and the rate of these complications should be certainly considered. The most important complications are the changes in bones and joints which come with pain and lead to increase in their motor disability. In this paper, the radiographic images were studied and the ossifications of spinal vertebra were described and also the type of changes and their prevalence was evaluated.

Methods: In this study, 500 patients and veterans with spinal cord injuries who were hospitalised in Khatam-Ol-Anbia Hospital in Tehran between 2011 and 2013 were examined. The spinal X-rays of the patients have been studied for spinal ossification, osteophyte, syndesmophyte, psoriasis spondylitis ossification, DISH ossification and the presence of shrapnel in the graph.

Results: Among the patients, 485 cases were males and 15 cases were females and the average age was 50 and the mean duration of injury was 26 years. 446 patients were paraplegic and 54 cases were quadriplegic. In paraplegic patients, osteophyte, syndesmophyte, psoriasis spondylitis ossification, DISH ossification and shrapnel, was 53.6, 6.7, 25.1, 5.4, 28.3 percent, respectively. In quadriplegic patients was 38.9, 1.9, 13, 5.6, 25.9 percent, respectively. There was a significant relationship between age and the number of involved vertebrae (P=0.000), psoriasis like ossifications (P=0.048) and large osteophytes (P=0.037), also between the duration of the injury and the number of involved vertebrae (P=0.008). In addition, the presence of shrapnel in the graph is correlated with large osteophytes.

Conclusion: Since the most frequent cause of chronic spinal injuries of our patients has been the injury by shrapnel, our results may not be extended to all patients with spinal cord injury. In lumbar spine radiography of the patients, osteophytes, the shrapnel and psoriasis like ossifications were mostly seen.

Disclosure: The authors declared no competing interests.

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