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From the Editor
Dr Lammertse begins by describing encouraging developments in restorative and regenerative therapies that promise to be significant clinical innovations. These may improve both early recovery as well as preserve and increase function in those with remote injury. Dr Falci details advances in the treatment of cystic myelopathy and posttraumatic syringomyelia, both major causes of delayed deterioration in neurologic function in SCI. Ms Johnson and Dr Lammertse provide an excellent review of the clinical problems that must be dealt with by the primary physician in caring for their patients with SCI, and pinpoints additional informational resources available that will prove invaluable in dealing with common problems in a community setting. Dr Menter relates how appropriate interventions along with education can be used to modify the aging process in those with SCI, prolong the individual’s active, productive life, and improve the quality of life as the spinal cord injured person ages. Finally, addressing one of the most vexing and debilitating aspects of SCI, Dr Balazy provides an exhaustive review of the mechanisms of pain in SCI, and the spectrum of treatment available for SCI patients with chronic pain. In this issue of the CNI REVIEW, we have addressed some of the issues that face the person with SCI as they reintegrate into the community and proceed with their lives. Hope and help in dealing with their loss of ability, pain, and aging as the person remains an active member of their community is often the responsibility of the primary care physician. We hope to provide an impetus to further education for those on whose shoulders this responsibility falls. John H McVicker, MD
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CNI REVIEW Library · CNI PublicationsColorado Neurological Institute (CNI),
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This issue of the CNI REVIEW addresses spinal cord injury (SCI). As
the survival and acute care of those who have sustained a major neurologic loss
due to spinal trauma continues to improve, we are increasingly faced with
helping these patients solve the dilemmas presented by living with their loss of
function. Although many changes have occurred within our society that have
heightened awareness, expanded accessibility, and increased opportunity for
those with SCI, the individual must still confront the personal limits imposed
by their initial loss of function, associated morbidities, chronic pain, and the
specter of increasing disability that may come with delayed neurologic
deterioration and aging.
