Controversies and consensus reviews the controversies pertaining to the emergency diagnostic medical and surgical management of spinal cord injury sci. A prospective surgical trial the surgical treatment for acute spinal cord injury study stascis conducted by the spine trauma study group is ongoing.
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Intravenous iv methylprednisolone solu medrol has been used as a treatment option for an acute spinal cord injury in the past.
Surgical management of spinal cord injury. Surgical management of spinal cord injury. 1 the view at that time that a sci was an ailment not to be treated remained the attitude of physicians for centuries. Current management strategies for acute sci involve early surgical decompression and fixation the use of vasopressor medications for mean arterial blood pressure map augmentation to improve spinal cord perfusion and corticosteroids.
Decompressing the spine ie spinal cord. That decision is based on what is best in the surgeon s opinion for the patient. Medical and surgical management of acute spinal injury during pregnancy.
Early management should incorporate a full advanced trauma life support atls assessment with the intent to avoid hypotension bradycardia and hypoxia. Acute spinal cord injury is a life altering event. A case series in a third world country surg neurol int.
In vitro studies animal models and clinical outcome analyses have all failed to yield incontrovertible guidelines that define the role of surgery in sci. The type of surgical procedure and when it should be performed is the surgeon s decision. Surgery to treat spinal cord injury sci may be performed immediately after the injury.
Timely neurosurgical consultation is essential to treat remediable injury and. Surgical management of spinal cord injury. In 1262 theodoric of bologna wrote a surgical text chiurgica de theodoric 1 in which he.
We highlight recent literature supporting the role of norepinep. But recent research has shown that the potential side effects such as blood clots and pneumonia from using this medication outweigh the benefits. Spinal cord injury management should be multidisciplinary.
Preliminary data from this study are showing that 24 of patients who receive decompressive surgery within 24 hours of their injury experience a 2 grade or better improvement on the asia scale. The earliest reports of spinal column injury with neurological deficits referred to as spinal cord injury sci date back to 2500 bc in the edwin smith surgical papyrus. Basically spine surgery to treat sci involves.
Controversies and consensus reviews the controversies pertaining to the emergency diagnostic medical and surgical management of spinal cord injury sci. In vitro studies animal models and clinical outcome analyses have all failed to yield incontrovertible guidelines that define the role of surgery in sci.
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