Journal ArticleDOI
Guidelines for the management of acute cervical spine and spinal cord injuries: 2013 update.
Beverly C. Walters,Mark N. Hadley,R. John Hurlbert,Bizhan Aarabi,Sanjay S. Dhall,Daniel E. Gelb,Mark R. Harrigan,Curtis J. Rozelle,Timothy C. Ryken,Nicholas Theodore +9 more
Reads0
Chats0
TLDR
The purpose of this article is to provide an overview of the changes in the recommendations as a result of new evidence or broadened scope.Abstract:
In 2002, an author group selected and sponsored by the Joint Section on Spine and Peripheral Nerves of the American Association of Neurological Surgeons and Congress of Neurological Surgeons published the first evidence-based guidelines for the management of patients with acute cervical spinal cord injuries (SCIs). In the spirit of keeping up with changes in information available in the medical literature that might provide more contemporary and more robust medical evidence, another author group was recruited to revise and update the guidelines. The review process has been completed and is published and can be once again found as a supplement to Neurosurgery. The purpose of this article is to provide an overview of the changes in the recommendations as a result of new evidence or broadened scope.read more
Citations
More filters
Journal ArticleDOI
Acute traumatic spinal cord injury, 1993-2000A population-based assessment of methylprednisolone administration and hospitalization.
TL;DR: The study findings indicate MPSS use is associated with higher acute care charges and longer hospital stays, and suggest the need for outcome studies to assess the long-term benefits of MpsS administration.
Journal ArticleDOI
Management of Acute Traumatic Central Cord Syndrome: A Narrative Review
Srikanth N. Divi,Gregory D. Schroeder,John J. Mangan,Madeline Tadley,Wyatt L. Ramey,Jetan H. Badhiwala,Michael G. Fehlings,F. Cumhur Oner,Frank Kandziora,Lorin Michael Benneker,Emiliano Neves Vialle,Shanmuganathan Rajasekaran,Jens R. Chapman,Alexander R. Vaccaro +13 more
TL;DR: While there is limited evidence regarding management of ATCCS, in the presence of mechanical instability or ongoing cord compression, surgical management is the treatment of choice.
Journal ArticleDOI
Cervical collar-related pressure ulcers in trauma patients in intensive care unit
TL;DR: The incidence of CRPUs in this study was low and they should never be accepted as an inevitable complication of cervical immobilization, however, further research is needed.
Journal ArticleDOI
MRI Prognostication Factors in the Setting of Cervical Spinal Cord Injury Secondary to Trauma.
Rafael Martinez-Perez,Rafael Martinez-Perez,Santiago Cepeda,Igor Paredes,José F. Alén,Alfonso Lagares +5 more
TL;DR: Multivariable analysis showed that edema larger than 36 mm and facet dislocation were strong predictors of clinical outcome, regardless of the initial neurologic examination result, suggesting early MRI has an intrinsic prognostic value.
Journal ArticleDOI
Timing of Surgery in Spinal Cord Injury.
TL;DR: There was significant variability in the definition of early and late decompression in both clinical and preclinical studies, and there was growing evidence in favor of early decompression following SCI.
References
More filters
Journal ArticleDOI
Administration of Methylprednisolone for 24 or 48 Hours or Tirilazad Mesylate for 48 Hours in the Treatment of Acute Spinal Cord Injury Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial
Michael B. Bracken,Mary Jo Shepard,Theodore R. Holford,Linda Leo-Summers,E. Francois Aldrich,Mahmood Fazl,Michael G. Fehlings,Daniel Herr,Patrick W. Hitchon,Lawrence F. Marshall,Russ P. Nockels,Valentine Pascale,Phanor L. Perot,Joseph M. Piepmeier,Volker K.H. Sonntag,Franklin Wagner,Jack E. Wilberger,H. Richard Winn,Wise Young +18 more
TL;DR: Patients with acute spinal cord injury who receive methylprednisolone within 3 hours of injury should be maintained on the treatment regimen for 24 hours, and patients treated with tirilazad for 48 hours showed motor recovery rates equivalent to patients who received methylpredisonsolone for 24Hours.
Journal ArticleDOI
A Randomized, Controlled Trial of Methylprednisolone or Naloxone in the Treatment of Acute Spinal-Cord Injury: Results of the Second National Acute Spinal Cord Injury Study
Michael B. Bracken,Mary Jo Shepard,William F. Collins,Theodore R. Holford,Wise Young,David S. Baskin,Howard M. Eisenberg,Eugene S. Flamm,Linda Leo-Summers,Joseph C. Maroon,Lawrence F. Marshall,Phanor L. Perot,Joseph M. Piepmeier,Volker K.H. Sonntag,Franklin C. Wagner,Jack E. Wilberger,H. R. Winn +16 more
TL;DR: It is concluded that in patients with acute spinal-cord injury, treatment with methylprednisolone in the dose used in this study improves neurologic recovery when the medication is given in the first eight hours.
Journal ArticleDOI
Early versus delayed decompression for traumatic cervical spinal cord injury: results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS).
Michael G. Fehlings,Alexander R. Vaccaro,Jefferson R. Wilson,Anoushka Singh,David W. Cadotte,James S. Harrop,Bizhan Aarabi,Christopher I. Shaffrey,Marcel F. Dvorak,Charles G. Fisher,Paul Arnold,Eric M. Massicotte,Stephen J. Lewis,Raja Rampersaud +13 more
TL;DR: Decompression prior to 24 hours after SCI can be performed safely and is associated with improved neurologic outcome, defined as at least a 2 grade AIS improvement at 6 months follow-up.
Journal ArticleDOI
Methylprednisolone or naloxone treatment after acute spinal cord injury: 1-year follow-up data. Results of the second National Acute Spinal Cord Injury Study.
Michael B. Bracken,Mary Jo Shepard,William F. Collins,Theodore R. Holford,David S. Baskin,Howard M. Eisenberg,Eugene S. Flamm,Linda Leo-Summers,Joseph C. Maroon,Lawrence F. Marshall +9 more
TL;DR: The 1-year follow-up data of a multicenter randomized controlled trial of methylprednisolone treatment for acute spinal cord injury are reported and compared with placebo results as discussed by the authors.
Journal ArticleDOI
Methylprednisolone and neurological function 1 year after spinal cord injury Results of the National Acute Spinal Cord Injury Study
Michael B. Bracken,Mary Jo Shepard,Karen Hellenbrand,William F. Collins,L S Leo,D F Freeman,Franklin C. Wagner,Eugene S. Flamm,Howard M. Eisenberg,Joseph H. Goodman +9 more
TL;DR: No significant difference was observed in neurological recovery of motor function, pinprick response, or touch sensation 1 year after injury between the two treatment groups, after adjustment for other potentially confounding factors.
Related Papers (5)
Administration of Methylprednisolone for 24 or 48 Hours or Tirilazad Mesylate for 48 Hours in the Treatment of Acute Spinal Cord Injury Results of the Third National Acute Spinal Cord Injury Randomized Controlled Trial
Michael B. Bracken,Mary Jo Shepard,Theodore R. Holford,Linda Leo-Summers,E. Francois Aldrich,Mahmood Fazl,Michael G. Fehlings,Daniel Herr,Patrick W. Hitchon,Lawrence F. Marshall,Russ P. Nockels,Valentine Pascale,Phanor L. Perot,Joseph M. Piepmeier,Volker K.H. Sonntag,Franklin Wagner,Jack E. Wilberger,H. Richard Winn,Wise Young +18 more
The Canadian C-spine Rule for radiography in alert and stable trauma patients
Ian G. Stiell,George A. Wells,Katherine L. Vandemheen,Catherine M. Clement,Howard Lesiuk,Valerie J. De Maio,Andreas Laupacis,Michael J. Schull,R. Douglas McKnight,Richard Verbeek,Robert J. Brison,Daniel Cass,Jonathan Dreyer,Mary A. Eisenhauer,Gary H. Greenberg,Iain MacPhail,Laurie J. Morrison,Mark Reardon,James Worthington +18 more