Objetive: Compare the severity of neurological damage and the clinical and demographic characteristics of two cohorts of patients with traumatic cervical spinal cord injury (CTSCI) at discharge from rehabilitation, in two specialized institutions. Material and Methods: This is an analytical and retrospective observational study, comparing patients with CTSCI treated at the National Institute of Rehabilitation (INR) of Peru and the Institut Guttmann of Spain. Clinical, demographic, and clinical outcome variables were described and analyzed. Results: The CTSCI in both groups affects males in more than 85%, the mean age of the Guttmann I. patients was 46.35 ± 21.03 years, and the INR was 37.1 ± 1.47 years. The time elapsed to the surgical intervention was 3.61 and 10.39 days; and the time from the injury to the first attention in the rehabilitation institutions was 70.32 and 306.7 days in...

Background: Heterotopic ossification (OH) is a complication described in patients with neurological damage. Case report: Patient who suffered a multiple trauma and traumatic brain injury (TBI), with fractures and neurological deficit secondary to TBI, who presented several heterotopic ossifications (OH) during his evolution that compromised the achievement of functional objectives. The main manifestation was swelling and limitation of the articular range (RA) for the extension of the left hip and knee, which kept the lower left limb (MI) flexed, preventing standing and walking. He was diagnosed as osteoma secondary to neurological trauma and received structured medical management, which included surgical intervention: “resection of the osteoma and tenotomy in hamstrings”, obtaining improvement of the joint range, chieving standing and walking with biomechanical support. Discussion: T...