Department of Physical Medicine and Rehabilitation/Trauma Rehabilitation Resources Program
SPINAL CORD INJURY GUIDELINES 2018
SPINAL CORD INJURY GUIDELINES 2018
Guideline developed by Gladys G Kamanga-Sollo, MD, in collaboration with the TRIUMPH team led by
Thomas S Kiser, MD, and Rani H Lindberg, MD.
Updated by Thomas S. Kiser 6/10/2018.
Selected References
1
Consortium for Spinal Cord Medicine. (1998). Neurogenic Bowel Management in Adults with Spinal Cord Injury.
Consortium for Spinal Cord Medicine. Washington, D.C.: Paralyzed Veterans of America.
2
Krassioukov, A., Eng., J.J., Claxton, G., Sakakibara, B.M., & Shum, S. (2010). Neurogenic bowel management
after spinal cord injury: A systematic review of the evidence. Spinal Cord, 48, 718-33.
3
Adams RD, Victor M. Diseases of the spinal cord, peripheral nerve, and muscle. In: Adams RD, Victor M, eds.
Principles of Neurology. New York: McGraw-Hill Publishers; 1993:1178-1180.
4
Bauman WA, Korsten MA, Radulovic M, Schilero GJ, Wecht JM, Spungen AM. 31st G. Heiner Sell Lectureship:
Secondary Medical Consequences of Spinal Cord Injury. Top Spinal Cord Inj Rehabil 2012;18(4):354–378.
5
Cook IJ, Brookes SJ. Motility of large intestine. In: Feldman M, Friedman LS, Sleisenger MH, eds. Gastrointestinal
and Liver Disease: Pathophysiology,Diagnosis and Management. Philadelphia: Elsevier Saunders; 2002:1679-1690.
6
Soo Jeong Han, Chung Mi Kim, Jeong Eun Lee,Tae Hoon Lee, Colonoscopic Lesions in Patients with Spinal Cord
Injury. J Spinal Cord Med. August 2009;32(4):404–407
7
Zauber AG, Winawer SJ, O’Brien MJ, et al. Colonoscopic polypectomy and long-term prevention of colorectal-
cancer deaths. N Engl J Med.2012;366(8):687-696
8
American Association of Spinal Cord Injury Nurses. American Association of Spinal Cord Injury Nurses
Standards of practice--revised 2003-2004. SCI Nurs.2004;21(4):228-232.
9
Shafik A, El-Sibai D, Shafik I. Physiologic basis of digital rectal stimulation for bowel evacuation in patients with
spinal cord injury: identification of an anorectal excitatory reflex. J Spinal Cord Med.2000;23:270-275.
10
Korsten MA, Monga A, Chaparala G, et al. Digital rectal stimulation causes increased left sided colonic motility in
patients with SCI. Gastroenterology. 2003;124:A115.
11
Saltzstein RJ, Romano J. The efficacy of colostomy as a bowel management alternative in selected spinal cord
injury patients. J Am Paraplegia Soc. 1990;13:9-13.
12
Stone JM, Wolfe VA, Nino-Murcia M, et al. Colostomy as treatment for complications of spinal cord injury. Arch
Phys Med Rehabil. 1990;71:514-518.
13
Gora RA,b, Katorskib JR, Elliott SP. Medical and surgical management of neurogenic bowel. Curr Opin Urol 2016,
26:369–375.
14
Nelson A, Malassigne P, Amerson T, et al. Descriptive study of bowel care practices and equipment in spinal cord
injury. SCI Nursing. 1993;10:65-67.
15
Cameron KJ, Nyulasi IB, Cllier GR, et al. Assesment of the effect of increased dietary fiber intake on bowel
function in patients with spinal cord injury. Spinal Cord 1996;34:277-283.
16
Connell A, Frankel H, Guttman L. The motility of the pelvic colon following complete lesions of the spinal cord.
Paraplegia 1963;1:98–115.
17
Fajardo NR, vic Pasiliao R, Duncan RM, Creasey G, Bauman WA, Korsten MA. Decreased Colonic Motility in
Persons with Chronic Spinal Cord Injury.
American Journal of Gastroenterolgy. Vol. 98, No. 1, 2003..
18
Glick M, Meshkinpour H, Haldeman S, et al. Colonic dysfunction in patients with thoracic spinal cord injury.
Gastroenterology 1984;86:287–94.
19
Bruninga K, Camilleri M. Colonic motility and tone after spinal cord and cauda equina injury. Am J Gastroenterol
1997;92:891–4.
20
Aaronson M, Freed M, Burakoff R. Colonic myoelectric activity in persons with spinal cord injury. Dig Dis Sci
1985; 30:295–300.