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Aug
Surgical Management Of Spinal Cord Injury. Current management strategies for acute sci involve early surgical decompression and fixation the use of vasopressor medications for mean arterial blood pressure map augmentation to improve spinal cord perfusion and corticosteroids. Preliminary data from this study are showing that 24 of patients who receive decompressive surgery within 24 hours of their injury experience a 2 grade or better improvement on the asia scale. In 1262 theodoric of bologna wrote a surgical text chiurgica de theodoric 1 in which he. Decompressing the spine ie spinal cord.
We highlight recent literature supporting the role of norepinep. Intravenous iv methylprednisolone solu medrol has been used as a treatment option for an acute spinal cord injury in the past. Acute spinal cord injury is a life altering event. Timely neurosurgical consultation is essential to treat remediable injury and. The earliest reports of spinal column injury with neurological deficits referred to as spinal cord injury sci date back to 2500 bc in the edwin smith surgical papyrus. Early management should incorporate a full advanced trauma life support atls assessment with the intent to avoid hypotension bradycardia and hypoxia.
In vitro studies animal models and clinical outcome analyses have all failed to yield incontrovertible guidelines that define the role of surgery in sci.
Controversies and consensus reviews the controversies pertaining to the emergency diagnostic medical and surgical management of spinal cord injury sci. Surgical management of spinal cord injury. 1 the view at that time that a sci was an ailment not to be treated remained the attitude of physicians for centuries. In vitro studies animal models and clinical outcome analyses have all failed to yield incontrovertible guidelines that define the role of surgery in sci. In 1262 theodoric of bologna wrote a surgical text chiurgica de theodoric 1 in which he. Surgery to treat spinal cord injury sci may be performed immediately after the injury.