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- W2479154208 abstract "Objectives Differentiate between a complete and incomplete spinal cord injury. Describe the clinical presentation of complete and incomplete spinal cord syndromes. State the two major considerations for surgical treatment of spinal cord injuries. Recognize unique surgical considerations in high cervical spinal cord injuries and unstable thoracic injuries. SUMMARY Surgery has greatly influenced the outcome of acute spinal cord injuries. Surgery involves decompression and stabilization to impart a stable motion segment while protecting the neurologic elements from further injury. Controversy exists concerning the role of corticosteroids and timing of surgery in acute spinal cord injuries. There is a need for a reproducible classification system to describe and dictate treatment for these injuries. INTRODUCTION Spinal cord injury (SCI) is a devastating event for the patient and society. There are approximately 200,000 Americans with SCI. A large percentage of these injuries involve males aged 20–40 years. The cost to society in maintaining care and quality of life is difficult to calculate. Surgical intervention has made a significant impact on outcome with these injuries. The development of improved spinal instrumentation has allowed surgeons to approach the spine from 360 degrees. Varied approaches allow decompression of the neurologic elements and the ability to impart a stable spinal segment that improves mobilization and rehabilitation. The role of surgery in spinal cord injury continues to evolve. A multidisciplinary approach is necessary to optimize outcome in spinal cord injuries. The orthopedic or neurologic surgeon remains a key component in the treatment of the patient with an acute traumatic event." @default.
- W2479154208 created "2016-08-23" @default.
- W2479154208 creator A5053845848 @default.
- W2479154208 date "2010-02-02" @default.
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- W2479154208 title "Surgical Considerations for Spinal Cord Trauma" @default.
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- W2479154208 doi "https://doi.org/10.1017/cbo9780511547447.016" @default.
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