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
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Book ChapterDOI
Imaging in the Stable Trauma Patient
Bradley Moffat,Neil Parry +1 more
TL;DR: This chapter will review the imaging modalities available for stable trauma patients and recommend a variety of treatment adjuncts to improve patient care and maximize efficiency.
Journal ArticleDOI
In Reply to "Ways to Improve Outcomes of Traumatic Acute Spinal Cord Injury: Integrated Approaches of Improved Prehospital Care, the Adoption of Synergistic Medical and Surgical Intervention, Along with Care for Associated Systemic Injury and Rehabilitation and Social Inclusion".
Journal ArticleDOI
Letter to the Editor Regarding “Influence of Preoperative Magnetic Resonance Imaging on Surgical Decision Making for Patients with Acute Traumatic Cervical Spinal Cord Injury: A Survey Among Experienced Spine Surgeons”
Journal ArticleDOI
Prise en charge des traumatisés médullaires
TL;DR: La gestion de ces patients est multidisciplinaire et vise a limiter la survenue de lesions secondaires, dans le but de limiter le handicap.
Book ChapterDOI
Imaging Studies of Spinal Cord Injuries
TL;DR: In this paper , the authors used X-rays and computed tomography (CT) scans to evaluate the bony spine, and these tools should be used to rule in or rule out spinal column injury.
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.
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