Acute injury characteristics predict chronic neuropathic pain development after spinal cord injury - Summary - MDSpire

Acute injury characteristics predict chronic neuropathic pain development after spinal cord injury

  • By

  • Kenneth A. Fond

  • Mayra Arellano

  • Abel Torres-Espin

  • Austin Chou

  • Xuan Bradfield

  • Sara L. Moncivais

  • J. Russell Huie

  • Debra D. Hemmerle

  • Anastasia V. Keller

  • Vineeta Singh

  • Lisa U. Pascual

  • Anthony M. DiGiorgio

  • Jason F. Talbott

  • William D. Whetstone

  • Jonathan Z. Pan

  • Philip R. Weinstein

  • Sanjay S. Dhall

  • Rajiv Saigal

  • Adam R. Ferguson

  • Jacqueline C. Bresnahan

  • Michael S. Beattie

  • Nikos Kyritsis

  • June 16, 2026

  • 0 min

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Objective:

To assess neuropathic pain outcomes in spinal cord injury (SCI) patients and identify acute care variables predictive of chronic neuropathic pain development.

Approach:
    Key Findings:
    • 36 out of 61 patients (59%) reported chronic neuropathic pain after SCI.
    • Four significant predictors of chronic neuropathic pain were identified: total number of systemic injuries, injury severity score (ISS), lower limb total motor score, and sensory pinprick total score.
    • The logistic regression model achieved a balanced accuracy of 74.3% and an AUC of 0.708, with further context on clinical relevance to be added.
    Interpretation:

    Limitations:
    • The study's sample size was limited to 61 patients, which may affect the generalizability of the findings.
    • Further validation in larger, independent cohorts is needed.
    Conclusion:

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