1999
Magnetic resonance imaging and neurological recovery in acute spinal cord injury: observations from the National Acute Spinal Cord Injury Study 3
Shepard M, Bracken M. Magnetic resonance imaging and neurological recovery in acute spinal cord injury: observations from the National Acute Spinal Cord Injury Study 3. Spinal Cord 1999, 37: 833-837. PMID: 10602525, DOI: 10.1038/sj.sc.3100927.Peer-Reviewed Original ResearchConceptsMagnetic resonance imagingAcute spinal cord injurySpinal cord injuryCord injuryMotor functionResonance imagingSpinal cord injury centerBlind clinical trialInitial neurological examinationInitial clinical examinationLight touch sensationComplete cord injurySpinal cord surgeryMultiple logistic regressionNational InstitutePresence of edemaComplete injuryNeurological recoveryRandomized patientsStudy drugCord edemaNeurological statusCord surgeryNeurological examinationNeurological assessment
1993
Pharmacological treatment of acute spinal cord injury: current status and future projects.
Bracken M. Pharmacological treatment of acute spinal cord injury: current status and future projects. Journal Of Emergency Medicine 1993, 11 Suppl 1: 43-8. PMID: 8445202.Peer-Reviewed Original ResearchConceptsAcute spinal cord injurySpinal cord injuryCord injurySecond National Acute Spinal Cord Injury StudyNational Acute Spinal Cord Injury StudyAcute Spinal Cord Injury StudySpinal Cord Injury StudyEffectiveness of methylprednisoloneMethylprednisolone-treated patientsRecovery of motorHours of injuryLevel of injuryMethylprednisolone groupPinprick sensationTirilazad mesylateMethylprednisolone infusionGlucocorticoid activityInitial bolusNeurological functionPharmacological treatmentMotor functionSpinal cordInjury studiesSensory functionInjury
1992
Methylprednisolone or naloxone treatment after acute spinal cord injury: 1-year follow-up data. Results of the second National Acute Spinal Cord Injury Study.
Bracken M, Shepard M, Collins W, Holford T, Baskin D, Eisenberg H, Flamm E, Leo-Summers L, Maroon J, Marshall L, Perot P, Piepmeier J, Sonntag V, Wagner F, Wilberger J, Winn H, Young W. Methylprednisolone or naloxone treatment after acute spinal cord injury: 1-year follow-up data. Results of the second National Acute Spinal Cord Injury Study. Journal Of Neurosurgery 1992, 76: 23-31. PMID: 1727165, DOI: 10.3171/jns.1992.76.1.0023.Peer-Reviewed Original ResearchConceptsHours of injuryAcute spinal cord injurySpinal cord injuryNaloxone treatmentCord injuryMotor functionSecond National Acute Spinal Cord Injury StudyNational Acute Spinal Cord Injury StudyAcute Spinal Cord Injury StudySpinal Cord Injury StudyAcute spinal cord traumaPreservation of motorTrial of methylprednisoloneSpinal cord traumaTotal sensoryPlacebo groupCord traumaNeurological functionStudy doseEmergency roomMethylprednisoloneInjury studiesMortality ratePatientsSensory function
1990
A Randomized, Controlled Trial of Methylprednisolone or Naloxone in the Treatment of Acute Spinal-Cord Injury
Bracken M, Shepard M, Collins W, Holford T, Young W, Baskin D, Eisenberg H, Flamm E, Leo-Summers L, Maroon J, Marshall L, Perot P, Piepmeier J, Sonntag V, Wagner F, Wilberger J, Winn H. A Randomized, Controlled Trial of Methylprednisolone or Naloxone in the Treatment of Acute Spinal-Cord Injury. New England Journal Of Medicine 1990, 322: 1405-1411. PMID: 2278545, DOI: 10.1056/nejm199005173222001.Peer-Reviewed Original ResearchConceptsAcute spinal cord injurySpinal cord injuryNeurologic recoverySafety of methylprednisoloneSystematic neurological examinationPlacebo-controlled trialHours of injuryMajor morbidityNeurologic outcomeControlled TrialsNeurological examinationIncomplete lesionsMotor functionMethylprednisoloneNaloxonePatientsBody weightSensory functionInjuryPlaceboInfusionBolusEffective remainsTreatmentDose
1985
Methylprednisolone and neurological function 1 year after spinal cord injury. Results of the National Acute Spinal Cord Injury Study.
Bracken M, Shepard M, Hellenbrand K, Collins W, Leo L, Freeman D, Wagner F, Flamm E, Eisenberg H, Goodman J, Perot P, Green B, Grossman R, Meagher J, Young W, Fischer B, Clifton G, Hunt W, Rifkinson N. Methylprednisolone and neurological function 1 year after spinal cord injury. Results of the National Acute Spinal Cord Injury Study. Journal Of Neurosurgery 1985, 63: 704-13. PMID: 3903070, DOI: 10.3171/jns.1985.63.5.0704.Peer-Reviewed Original ResearchConceptsTotal steroid doseNational Acute Spinal Cord Injury StudyAcute Spinal Cord Injury StudySpinal Cord Injury StudyHigh-dose methylprednisoloneSteroid treatment protocolFunction 1 yearCase fatality rateSpinal cord injuryPinprick responseSteroid doseNeurological recoveryCord injuryStandard dosePatient genderClinical trialsMotor functionTreatment protocolStudy groupInjury studiesTreatment groupsFatality rateInjuryMethylprednisoloneTreatment effects
1984
Efficacy of Methylprednisolone in Acute Spinal Cord Injury
Bracken M, Collins W, Freeman D, Shepard M, Wagner F, Silten R, Hellenbrand K, Ransohoff J, Hunt W, Perot P, Grossman R, Green B, Eisenberg H, Rifkinson N, Goodman J, Meagher J, Fischer B, Clifton G, Flamm E, Rawe S. Efficacy of Methylprednisolone in Acute Spinal Cord Injury. JAMA 1984, 251: 45-52. PMID: 6361287, DOI: 10.1001/jama.1984.03340250025015.Peer-Reviewed Original ResearchConceptsAcute spinal cord injurySpinal cord injuryCord injuryEarly case fatalityEfficacy of methylprednisoloneHigh-dose regimenLight touch sensationHigh-dose protocolGroups six weeksNeurological recoveryCase fatalityWound infectionStandard doseMotor functionInitial lesionHigh doseOperative siteSix weeksInjuryMethylprednisoloneTreatment effectsTouch sensationDoseEfficacyMulticenter
1980
Relationship between neurological and functional status after acute spinal cord injury: An epidemiological study
Bracken M, Hildreth N, Freeman D, Webb S. Relationship between neurological and functional status after acute spinal cord injury: An epidemiological study. Journal Of Clinical Epidemiology 1980, 33: 115-125. PMID: 7354100, DOI: 10.1016/0021-9681(80)90035-1.Peer-Reviewed Original ResearchConceptsSensory functionMotor functionFunctional statusFirst post-injury yearAcute spinal cord injurySpinal cord injurySelfcare activitiesFour-point scaleADL scoresHospital dischargeHospital admissionSensory lossNeurological functionProspective studyCord injuryDaily livingEpidemiological studiesMovement of limbsHospitalizationPatientsInjuryGreater improvementAdditive effectSignificant improvementStatus
1978
Classification of the severity of acute spinal cord injury: implications for management
Bracken M, Webb S, Wagner F. Classification of the severity of acute spinal cord injury: implications for management. Spinal Cord 1978, 15: 319-326. PMID: 625431, DOI: 10.1038/sc.1977.48.Peer-Reviewed Original ResearchConceptsSpinal cord injuryAcute spinal cord injuryCord injuryMotor functionBrown-Sequard syndromeMotor function scalesPoor motor functionComprehensive neurological examinationDifferent therapeutic modalitiesSevere motor impairmentAcute hospitalisationCord lesionsNeurological examinationFracture dislocationSensory lossProspective studyEmergency departmentHigh prevalenceTherapeutic modalitiesMotor impairmentSensory functionPatientsFunction scaleOlder ageInjury