Evidence-based evaluation of early versus late surgical decompression in cervical spinal cord injury
نویسندگان
چکیده
© 2015 Asian Journal of Neurosurgery | Published by Wolters Kluwer ‐ Medknow Mahdi Sharif-Alhoseini, Alexander Vaccaro, Vafa Rahimi-Movaghar Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran, 1Department of Orthopedic Surgery and Neurological Surgery, Thomas Jefferson University and Rothman Institute, Philadelphia, Pennsylvania, USA Address for correspondence: Prof. Vafa Rahimi‐Movaghar, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. E‐mail: [email protected] References
منابع مشابه
Neurologic outcome of early versus late surgery for cervical spinal cord injury.
STUDY DESIGN A prospective analysis evaluating neurologic outcome after early versus late surgery for cervical spinal cord trauma. OBJECTIVES The study was conducted to determine whether neurologic and functional outcome is improved in traumatic cervical spinal cord-injured patients (C3-T1, American Spinal Injury Association grades A-D) who had early surgery (<72 hours after spinal cord injur...
متن کاملEarly versus Delayed Decompression for Traumatic Cervical Spinal Cord Injury: Results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS)
BACKGROUND There is convincing preclinical evidence that early decompression in the setting of spinal cord injury (SCI) improves neurologic outcomes. However, the effect of early surgical decompression in patients with acute SCI remains uncertain. Our objective was to evaluate the relative effectiveness of early (<24 hours after injury) versus late (≥ 24 hours after injury) decompressive surger...
متن کاملClinical Outcome in Patients with Early versus Delayed Decompression in Cervical Spine Trauma
STUDY DESIGN Prospective observational study. PURPOSE To assess the clinical outcome after early versus late decompression for traumatic cervical cord injury. OVERVIEW OF LITERATURE Traumatic spinal cord injury is common globally with the most tragic outcomes in the cervical spine. Although recent studies have shown that early decompression results in more favourable outcome, its authority ...
متن کاملTiming of Decompression in Patients With Acute Spinal Cord Injury: A Systematic Review
Study Design Systematic review. Objective To conduct a systematic review and synthesis of the literature to assess the comparative effectiveness, safety, and cost-effectiveness of early (≤24 hours) versus late decompression (>24 hours) in adults with acute spinal cord injury (SCI). Methods A systematic search was conducted of Medline, EMBASE, the Cochrane Collaboration Library, and Google S...
متن کاملThe efficacy of surgical decompression before 24 hours versus 24 to 72 hours in patients with spinal cord injury from T1 to L1 – with specific consideration on ethics: a randomized controlled trial
BACKGROUND There is no clear evidence that early decompression following spinal cord injury (SCI) improves neurologic outcome. Such information must be obtained from randomized controlled trials (RCTs). To date no large scale RCT has been performed evaluating the timing of surgical decompression in the setting of thoracolumbar spinal cord injury. A concern for many is the ethical dilemma that a...
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