Complete Traumatic Spinal Cord Injury: Current Insights Regarding Timing of Surgery and Level of Injury

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Timing of Surgery in Spinal Cord Injury.

STUDY DESIGN A systematic review of the literature for clinical and preclinical evidence related to timing of decompression following spinal cord injury (SCI). OBJECTIVE A review of the literature in search of consensus on what constitutes the ideal time frame for surgical management of SCI. SUMMARY OF BACKGROUND DATA Optimal timing for surgical management of SCI remains poorly defined. Des...

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The initial experience concerning the use of magnetic resonance imaging in 94 patients who had sustained chronic cord injury showed its specific advantages over traditional imaging modalities. A variety of 84 cord abnormalities were identified including myelomalacia in 47%, cord cysts in 37%, focal atrophy in 11 % and cord transection in 5%. Canal stenosis was seen in twenty-five patients, ...

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Non-neurological outcomes after complete traumatic spinal cord injury: the impact of surgical timing.

It remains unclear whether the benefits of early surgical timing are significant in neurologically complete spinal cord injury (SCI). We wanted to compare the effects of early and late surgical timing on non-neurological outcomes in persons with traumatic complete SCI. All cases of traumatic complete SCI referred to a single institution between 2000 and 2011 were retrospectively reviewed. The o...

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Traumatic spinal cord injury: current concepts and treatment update.

Spinal cord injury (SCI) affects 1.3 million North Americans, with more than half occurring after trauma. In Brazil, few studies have evaluated the epidemiology of SCI with an estimated incidence of 16 to 26 per million per year. The final extent of the spinal cord damage results from primary and secondary mechanisms that start at the moment of the injury and go on for days, and even weeks, aft...

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ژورنال

عنوان ژورنال: Global Spine Journal

سال: 2019

ISSN: 2192-5682,2192-5690

DOI: 10.1177/2192568219844990