Objective
To analyze the epidemiological information of patients with traumatic spinal cord injury (SCI) and concomitant traumatic brain injury (TBI) and to suggest points to be aware of during the initial physical examination of patients with SCI.
Methods
This study was a retrospective, observational study conducted in a regional trauma center. All the records of patients diagnosed with traumatic SCI between 2016 and 2020 were reviewed. A total of 627 patients with confirmed traumatic SCI were hospitalized. A retrospective study was conducted on 363 individuals.
Results
The epidemiological data of 363 individuals were investigated. Changes in American Spinal Injury Association Impairment Scale (AIS) scores in patients with SCI were evaluated. The initial evaluation was performed on average 11 days after the injury, and a follow-up examination was performed 43 days after. Fourteen of the 24 patients identified as having AIS A and SCI with concomitant TBI in the initial evaluation showed neurologic level of injury (NLI) recovery with AIS B or more. The conversion rate in patients with SCI and concomitant TBI exceeded that reported in previous studies in individuals with SCI.
Conclusions
Physical, cognitive, and emotional impairments caused by TBI present significant challenges in rehabilitating patients with SCI. In this study, the influence of concomitant TBI lesions could have caused the initial AIS assessment to be incorrect.

Citations

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  Zakari R. Dymock, Sara Shahid Salles
  Physical Medicine and Rehabilitation Clinics of North America.2025; 36(1): 47.     CrossRef
• Screening and outcomes of co-occurring traumatic brain injury among people with spinal cord injury: a scoping review
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  Journal of Rehabilitation Medicine.2025; 57: jrm41897.     CrossRef
• Animal Models of Spinal Cord Injury
  Vladislav E. Sobolev, Yuriy I. Sysoev, Tatiana V. Vyunova, Pavel E. Musienko
  Biomedicines.2025; 13(6): 1427.     CrossRef
• Concomitant Traumatic Brain Injury Exacerbates Endotheliopathy in Patients with Spinal Cord Injury
  Shahab Hafezi, Miguel A. Ruiz-Cardozo, Sarbani Ghosh, Sravanthi Bandla, Matthew N. Montoya Rush, Anand Dharmarajan, Mark H. Hoofnagle, Isaiah R. Turnbull, Camilo A. Molina, Grace M. Niziolek
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• The Critical Management of Spinal Cord Injury: A Narrative Review
  Emilio Moreno-González, Antonio Ibarra
  Clinics and Practice.2024; 15(1): 2.     CrossRef