Early predictors of neurological outcomes after traumatic spinal cord injury

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Pascal Mputu Mputu ◽  
Marie Beauséjour ◽  
Andréane Richard-Denis ◽  
Jean-Marc Mac-Thiong
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Neurological Outcomes ◽  
Early Predictors ◽  
Cord Injury

Traumatic spinal cord injury in Italy 20 years later: current epidemiological trend and early predictors of rehabilitation outcome

Spinal Cord ◽  
2020 ◽  
Vol 58 (7) ◽  
pp. 768-777
Author(s):  
Marco Franceschini ◽  
◽  
Jacopo Bonavita ◽  
Lorenzo Cecconi ◽  
Salvatore Ferro ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Rehabilitation Outcome ◽  
Early Predictors ◽  
Epidemiological Trend ◽  
Cord Injury

scholarly journals Medical Communication Services after Traumatic Spinal Cord Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Jamal Alshorman ◽  
Yulong Wang ◽  
Fengzhao Zhu ◽  
Lian Zeng ◽  
Kaifang Chen ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Intervention ◽  
Treatment Method ◽  
Traumatic Spinal Cord Injury ◽  
Communication Services ◽  
Medical Communication ◽  
Neurological Outcomes ◽  
Appropriate Treatment ◽  
Cord Injury

It is difficult to assess and monitor the spinal cord injury (SCI) because of its pathophysiology after injury, with different degrees of prognosis and various treatment methods, including laminectomy, durotomy, and myelotomy. Medical communication services with different factors such as time of surgical intervention, procedure choice, spinal cord perfusion pressure (SCPP), and intraspinal pressure (ISP) contribute a significant role in improving neurological outcomes. This review aims to show the benefits of communication services and factors such as ISP, SCPP, and surgical intervention time in order to achieve positive long-term outcomes after an appropriate treatment method in SCI patients. The SCPP was found between 90 and 100 mmHg for the best outcome, MAP was found between 110 and 130 mmHg, and mean ISP is ≤20 mmHg after injury. Laminectomy alone cannot reduce the pressure between the dura and swollen cord. Durotomy and duroplasty considered as treatment choices after severe traumatic spinal cord injury (TSCI).

Non-Neurological Outcomes after Complete Traumatic Spinal Cord Injury: The Impact of Surgical Timing

2013 ◽  
Vol 30 (18) ◽  
pp. 1596-1601 ◽  
Author(s):  
Étienne Bourassa-Moreau ◽  
Jean-Marc Mac-Thiong ◽  
Debbie Ehrmann Feldman ◽  
Cynthia Thompson ◽  
Stefan Parent
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Surgical Timing ◽  
Neurological Outcomes ◽  
Cord Injury ◽  
The Impact

Early Predictors of Global Functional Outcome after Traumatic Spinal Cord Injury: A Systematic Review

2018 ◽  
Vol 35 (15) ◽  
pp. 1705-1725 ◽  
Author(s):  
Andréane Richard-Denis ◽  
Marie Beauséjour ◽  
Cynthia Thompson ◽  
Bich-Han Nguyen ◽  
Jean-Marc Mac-Thiong
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Outcome ◽  
Traumatic Spinal Cord Injury ◽  
Early Predictors ◽  
Cord Injury

Impact of Admission Imaging Findings on Neurological Outcomes in Acute Cervical Traumatic Spinal Cord Injury

2018 ◽  
Vol 35 (12) ◽  
pp. 1398-1406 ◽  
Author(s):  
H. Francis Farhadi ◽  
Sunil Kukreja ◽  
Amy Minnema ◽  
Lohith Vatti ◽  
Meera Gopinath ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Imaging Findings ◽  
Neurological Outcomes ◽  
Cord Injury

Neurological Recovery in Traumatic Spinal Cord Injury Patient with Delayed Surgical Intervention

2018 ◽  
Vol 1 (2) ◽  
pp. 34
Author(s):  
Mochamad Targib Alatas
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Surgical Intervention ◽  
Case Series ◽  
Spinal Cord Injury Patient ◽  
Traumatic Spinal Cord Injury ◽  
Best Interest ◽  
Score Improvement ◽  
Cord Injury ◽  
Injury Patient

Early surgical treatment for traumatic spinal cord injury (SCI) patients has been proven to yield better improvement on neurological state, and widely practiced among surgeons in this field. However, it is not always affordable in every clinical setting. It is undeniable that surgery for chronic SCI has more challenges as the malunion of vertebral bones might have initiated, thus requires more complex operating techniques. In this case series, we report 7 patients with traumatic SCI whose surgical intervention is delayed due to several reasons. Initial motoric scores vary from 0 to 3, all have their interval periods supervised between outpatient clinic visits. On follow up they demonstrate significant neurological development defined by at least 2 grades motoric score improvement. Physical rehabilitation also began before surgery was conducted. These results should encourage surgeons to keep striving for the patient’s best interest, even when the injury has taken place weeks or even months before surgery is feasible because clinical improvement for these patients is not impossible. 

Sign in / Sign up

Export Citation Format

Share Document