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
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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
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Journal ArticleDOI
Heads Up! Data Dredging Coming Through: Heads Up Cardiopulmonary Resuscitation Does Not Improve Outcomes: February 2023 Annals of Emergency Medicine Journal Club.
Mukund Mohan,Anand Swaminathan +1 more
Book ChapterDOI
Perioperative Management of Acute Central Nervous System Injury
TL;DR: In this paper , the authors present a general understanding of how to address the most commonly encountered complications in the acutely injured central nervous system (CNS) in a perioperative setting.
Journal ArticleDOI
Descrição de técnica de redução cirúrgica das luxações facetárias da coluna cervical baixa por via anterior
André Rafael Hübner,Álvaro Diego Heredia Suárez,Jean Marcel Dambrós,Leandro de Freitas Spinelli +3 more
TL;DR: Las observaciones en cuarenta y un pacientes operados en los ultimos diez anos por esta tecnica muestran resultados sorprendentes con respecto a un pos operatorio menos doloroso, con recuperacion funcional extremadamente rapida y complicaciones menos frecuentes.
Journal ArticleDOI
Lésions étagées contiguës du rachis cervical inférieur lors d’un traumatisme en flexion de diagnostic retardé : à propos d’un cas
A.-P. Uzel,L. Do +1 more
TL;DR: A case of bilateral C4-C5 facet fracture dislocation associated with a severe sprain underlying C5-C6, which had occurred during an traffic accident, is reported and MRI can provide an exhaustif diagnosis of possible multilevel injuries.
Journal ArticleDOI
Reader response: Spinal cord perfusion pressure predicts neurologic recovery in acute spinal cord injury.
TL;DR: It is proposed that maintaining spinal cord perfusion pressure (SCPP) above 50 mm Hg and monitoring intrathecal pressure led to improved outcome but did not correlate with mean arterial pressure (MAP) or intraspinal CSF pressure.
References
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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.
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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
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