Spinal cord injury: Current trends in acute management
Introduction: Traumatic spinal cord injury (tSCI) is a profoundly debilitating condition necessitating prompt intervention. However, the optimal acute treatment strategy remains a subject of debate. Research question: The aim of this overview is to elucidate prevailing trends in the acute tSCI manag...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Brain and Spine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529424000596 |
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| author | C.Y. Adegeest N. Moayeri S.P.J. Muijs P.V. ter Wengel |
| author_facet | C.Y. Adegeest N. Moayeri S.P.J. Muijs P.V. ter Wengel |
| author_sort | C.Y. Adegeest |
| collection | DOAJ |
| description | Introduction: Traumatic spinal cord injury (tSCI) is a profoundly debilitating condition necessitating prompt intervention. However, the optimal acute treatment strategy remains a subject of debate. Research question: The aim of this overview is to elucidate prevailing trends in the acute tSCI management. Material and Methods: We provided an overview using peer-reviewed studies. Results: Early surgical treatment (<24h after trauma) appears beneficial compared to delayed surgery. Nonetheless, there is insufficient evidence supporting a positive influence of ultra-early surgery on neurological outcome in tSCI. Furthermore, the optimal surgical approach to decompress the spinal cord remains unclear. These uncertainties extend to a growing aging population suffering from central cord syndrome (CCS). Additionally, there is a paucity of evidence supporting the beneficial effects of strict hemodynamic management. Discussion and Conclusion: This overview highlights the current literature on surgical timing, surgical techniques and hemodynamic management during the acute phase of tSCI. It also delves into considerations specific to the elderly population experiencing CCS. |
| format | Article |
| id | doaj-art-fb8e6c426e2b4cbbbb43b23646b70b08 |
| institution | Kabale University |
| issn | 2772-5294 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj-art-fb8e6c426e2b4cbbbb43b23646b70b082024-12-15T06:18:21ZengElsevierBrain and Spine2772-52942024-01-014102803Spinal cord injury: Current trends in acute managementC.Y. Adegeest0N. Moayeri1S.P.J. Muijs2P.V. ter Wengel3Department of Neurosurgery, Haaglanden Medical Center, The Hague, the Netherlands; Department of Neurosurgery, Leiden University Medical Center, Leiden, the NetherlandsDepartment of Neurosurgery, University Medical Center Utrecht, Utrecht, the NetherlandsDepartment of Orthopedic Surgery, University Medical Center Utrecht, Utrecht, the NetherlandsDepartment of Neurosurgery, Haaglanden Medical Center, The Hague, the Netherlands; Corresponding author.Introduction: Traumatic spinal cord injury (tSCI) is a profoundly debilitating condition necessitating prompt intervention. However, the optimal acute treatment strategy remains a subject of debate. Research question: The aim of this overview is to elucidate prevailing trends in the acute tSCI management. Material and Methods: We provided an overview using peer-reviewed studies. Results: Early surgical treatment (<24h after trauma) appears beneficial compared to delayed surgery. Nonetheless, there is insufficient evidence supporting a positive influence of ultra-early surgery on neurological outcome in tSCI. Furthermore, the optimal surgical approach to decompress the spinal cord remains unclear. These uncertainties extend to a growing aging population suffering from central cord syndrome (CCS). Additionally, there is a paucity of evidence supporting the beneficial effects of strict hemodynamic management. Discussion and Conclusion: This overview highlights the current literature on surgical timing, surgical techniques and hemodynamic management during the acute phase of tSCI. It also delves into considerations specific to the elderly population experiencing CCS.http://www.sciencedirect.com/science/article/pii/S2772529424000596Spinal cord injuryTraumaAcute managementSurgeryHemodynamic management |
| spellingShingle | C.Y. Adegeest N. Moayeri S.P.J. Muijs P.V. ter Wengel Spinal cord injury: Current trends in acute management Brain and Spine Spinal cord injury Trauma Acute management Surgery Hemodynamic management |
| title | Spinal cord injury: Current trends in acute management |
| title_full | Spinal cord injury: Current trends in acute management |
| title_fullStr | Spinal cord injury: Current trends in acute management |
| title_full_unstemmed | Spinal cord injury: Current trends in acute management |
| title_short | Spinal cord injury: Current trends in acute management |
| title_sort | spinal cord injury current trends in acute management |
| topic | Spinal cord injury Trauma Acute management Surgery Hemodynamic management |
| url | http://www.sciencedirect.com/science/article/pii/S2772529424000596 |
| work_keys_str_mv | AT cyadegeest spinalcordinjurycurrenttrendsinacutemanagement AT nmoayeri spinalcordinjurycurrenttrendsinacutemanagement AT spjmuijs spinalcordinjurycurrenttrendsinacutemanagement AT pvterwengel spinalcordinjurycurrenttrendsinacutemanagement |