(2005) Efficacy of surgical decompression in the setting of complete thoracic spinal cord injury. Journal of Spinal Cord Medicine. pp. 415-420. ISSN 1079-0268
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Abstract
Background/Objective: An assessment of neurological improvement after surgical intervention in the setting of traumatic thoracic spinal cord injury (SCI). Methods: A retrospective evaluation of a nonconsecutive cohort of patients with a thoracic SCI from T2 to T11. The analysis included a total of 12 eligible patients. The neurologic and functional outcomes were recorded from the acute hospital admission to the most recent follow-up. Data included patient age, level of injury, neurologic examination according to the Frankel grading system, the performance of surgery, and the mechanism of the time-related SCI decompression. Results: All patients had a complete thoracic SCI. The median interval from injury to surgery was 11 days (range, 1-36 days). Decompression, bone fusion, and instrumentation were the most common surgical procedures performed. The median length of follow-up was 18 months after surgery (range, 9-132 months). Motor functional improvement was seen in 1 patient (Frankel A to C). Conclusion: Surgical decompression and fusion imparts no apparent benefit in terms of neurologic improvement (spinal cord) in the setting of a complete traumatic thoracic SCI. To better define the role of surgical decompression and stabilization in the setting of a complete SCI, randomized, controlled, prospective studies are necessary.
Item Type: | Article |
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Keywords: | spinal cord injuries complete surgical decompression surgery thoracic spine spinal fusion thoracic anterior decompression anterolateral decompression thoracolumbar fractures compression injury lumbar spine trauma management recovery surgery tetraplegia Neurosciences & Neurology |
Page Range: | pp. 415-420 |
Journal or Publication Title: | Journal of Spinal Cord Medicine |
Journal Index: | ISI |
Volume: | 28 |
Number: | 5 |
Identification Number: | https://doi.org/10.1080/10790268.2005.11753841 |
ISSN: | 1079-0268 |
Depositing User: | خانم مهدیه رضائی پور |
URI: | http://eprints.zaums.ac.ir/id/eprint/2927 |
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