What is the prognosis?


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The types of disability associated with SCI vary greatly depending on the severity of the injury, the segment of the spinal cord at which the injury occurs and which nerve fibres are damaged. Most people with SCI regain some functions between a week and six months after the injury, but the likelihood of spontaneous recovery diminishes after six months. Rehabilitation strategies can minimize long-term disability.

During the first year after SCI, 15.4 % change from complete (ASIA A) to incomplete (ASIA B-E) injury.
Among them are 7.6% who regain motor function (ASIA C, D) Marino et al., 1999, Arch Phys Med. Rehabil 80: 1391-6

In the following four years, from one year until five years after the injury, an additional 5.9% change from complete (ASIA A) to incomplete (ASIA B-E) injury. Among them are 2.2% who regain motor function (ASIA C, D) Kirshblum et al. 2004, Arch Phys Med. Rehabil 85: 1811-7

In total, during the first five years, 21.3% of patients change from complete (ASIA A) to incomplete (ASIA B-E) injury.