Bulbocavernosus Reflex Has No Prognostic Features During the Acute Evaluation of Spinal Cord Injuries.
Publication/Presentation Date
9-1-2023
Abstract
The bulbocavernosus reflex (BCR) has been used during the initial evaluation of a spinal cord injury patient as a metric to determine prognosis and whether the patient is in "spinal shock." This reflex has been less utilized over the last decade, and therefore a review was performed to assess the value of BCR in patient prognosis. The North American Clinical Trials Network (NACTN) for Spinal Cord Injury (SCI) is a consortium of tertiary medical centers that includes a prospective SCI registry. The NACTN registry data was analyzed to evaluate the prognostic implication of the BCR during the initial evaluation of a spinal cord injury patient. SCI patients were divided into those with an intact or absent BCR during their initial evaluation. Associations of participants' descriptors and neurological status on follow-up were performed, followed by associations with the presence of a BCR. A total of 769 registry patients with recorded BCRs were included in the study. The median age was 49 years (32-61 years), and the majority were male (
Volume
40
Issue
17-18
First Page
1970
Last Page
1975
ISSN
1557-9042
Published In/Presented At
Mansoor Ali, D., Sivaganesan, A., Neal, C. J., Thalheimer, S., Ugiliweneza, B., Toups, E. G., Abd-El-Barr, M., Jimsheleishvili, G., Kurpad, S. N., Aarabi, B., Shaffrey, C. I., Fehlings, M. G., Tator, C. H., Grossman, R. G., Guest, J. D., & Harrop, J. S. (2023). Bulbocavernosus Reflex Has No Prognostic Features During the Acute Evaluation of Spinal Cord Injuries. Journal of neurotrauma, 40(17-18), 1970–1975. https://doi.org/10.1089/neu.2022.0412
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
36884291
Department(s)
Administration and Leadership
Document Type
Article