Evaluación longitudinal del biomarcador sanguíneo de lesión de la médula espinal "SCRIBBLE" (SCRIBBLE)

All participants for this study will be recruited at Vancouver General Hospital. The study will include two groups/cohorts:

SCI Subjects. Patients who suffer a traumatic spinal cord injury who meet the following inclusion criteria are eligible for admission into the study as "SCI subjects":

Non-SCI Spine Trauma Control Subjects. Patients who suffer a fracture or dislocation of their spinal column but without neurologic injury are eligible for admission into the study as "Non-SCI Spine Trauma Control Subjects" if they meet the following inclusion criteria:

Inclusion Criteria

SCI Participants. Patients who suffer a traumatic spinal cord injury who meet the following inclusion criteria are eligible for admission into the study as "SCI participants":

• Male or Female ≥ 19 years of age
• Blunt (non-penetrating) traumatic spinal cord injury
• Baseline neurologic impairment deemed "complete"(AIS A) or "incomplete" (AIS B, C, D)
• Bony spinal level involvement between C0 and L1 inclusive
• Ability to have initial blood sample drawn within 24 hours of injury
• Have either an arterial line, central line, or intravenous line for collecting blood samples
• Able and willing to provide informed consent

Non-SCI Spine Trauma Control Participants. Patients who suffer a fracture or dislocation of their spinal column without neurologic injury who meet the following inclusion criteria are eligible for admission into the study as "Non-SCI Spine Trauma Control Participants":

• Male or Female ≥ 19 years of age
• Traumatic spinal fracture between C0 and L1 without spinal cord injury
• Collection of initial blood sample within 24 hours of injury
• Have either an arterial line, central line, or intravenous line for collecting blood samples
• Able and willing to provide informed consent

Exclusion Criteria

Patients who fulfill any of the following criteria are not eligible for admission into the study:

• Penetrating spinal cord injury (e.g. gunshot, stab)
• Spinal cord injury with sensory deficit only (i.e. no motor deficit)
• Spinal injury below L1
• Isolated radiculopathy without fracture
• Isolated cauda equina injury
• Pre-existing thromboembolic disease or coagulopathy (disorders related to blood clotting), such as haemophilia or von Willebrand's disease
• Have any other medical condition that in the investigator's opinion would render the study procedures dangerous or impair their ability to receive treatment