Multidimensional predictive factor analysis of sexual function prognosis in male patients following cord injury without fracture or dislocation

CSCI without fracture or dislocation leads to profound sexual dysfunction. Poorer outcomes correlate with delayed surgical decompression, higher ASIA impairment grades, lower TPRmin and TPRmedian, and radiographic evidence of HCS or spinal cord compression. These findings highlight the potential value of integrating neuroimaging biomarkers and psychosexual evaluation into rehabilitation strategies.