학술논문
An Update of a Clinical Practice Guideline for the Management of Patients With Acute Spinal Cord Injury: Recommendations on the Role and Timing of Decompressive Surgery.
Document Type
article
Author
Fehlings, Michael; Tetreault, Lindsay; Hachem, Laureen; Evaniew, Nathan; Ganau, Mario; McKenna, Stephen; Neal, Chris; Nagoshi, Narihito; Rahimi-Movaghar, Vafa; Aarabi, Bizhan; Hofstetter, Christoph; Wengel, Valerie; Nakashima, Hiroaki; Martin, Allan; Kirshblum, Steven; Rodrigues Pinto, Ricardo; Marco, Rex; Wilson, Jefferson; Kahn, David; Newcombe, Virginia; Zipser, Carl; Douglas, Sam; Kurpad, Shekar; Lu, Yi; Saigal, Rajiv; Samadani, Uzma; Arnold, Paul; Hawryluk, Gregory; Skelly, Andrea; Kwon, Brian
Source
Global Spine Journal. 14(3_suppl)
Subject
Language
Abstract
STUDY DESIGN: Clinical practice guideline development. OBJECTIVES: Acute spinal cord injury (SCI) can result in devastating motor, sensory, and autonomic impairment; loss of independence; and reduced quality of life. Preclinical evidence suggests that early decompression of the spinal cord may help to limit secondary injury, reduce damage to the neural tissue, and improve functional outcomes. Emerging evidence indicates that early surgical decompression completed within 24 hours of injury also improves neurological recovery in patients with acute SCI. The objective of this clinical practice guideline (CPG) is to update the 2017 recommendations on the timing of surgical decompression and to evaluate the evidence with respect to ultra-early surgery (in particular, but not limited to,