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Review
. 2023 Dec 1;29(6):659-665.
doi: 10.1097/MCC.0000000000001110. Epub 2023 Oct 12.

Traumatic spinal cord injury: acute phase treatment in critical care

Charlotte Y Adegeest  1 , Paula V Ter Wengel, Wilco C Peul
Affiliations
Review

Traumatic spinal cord injury: acute phase treatment in critical care

Charlotte Y Adegeest et al. Curr Opin Crit Care. .

Abstract

Purpose of review: Surgical timing in traumatic spinal cord injury (t-SCI) remains a point of debate. Current guidelines recommend surgery within 24 h after trauma; however, earlier timeframes are currently intensively being investigated. The aim of this review is to provide an insight on the acute care of patients with t-SCI.

Recent findings: Multiple studies show that there appears to be a beneficial effect on neurological recovery of early surgical decompression within 24 h after trauma. Currently, the impact of ultra-early surgery is less clear as well as lacking evidence for the most optimal surgical technique. Nevertheless, early surgery to decompress the spinal cord by whatever method can impact the occurrence for perioperative complications and potentially expedite rehabilitation. There are clinical and socioeconomic barriers in achieving timely and adequate surgical interventions for t-SCI.

Summary: In this review, we provide an overview of the recent insights of surgical timing in t-SCI and the current barriers in acute t-SCI treatment.

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References

    1. Furlan JC, Noonan V, Cadotte DW, Fehlings MG. Timing of decompressive surgery of spinal cord after traumatic spinal cord injury: an evidence-based examination of preclinical and clinical studies. J Neurotrauma 2011; 28:1371–1399.
    1. Fehlings MG, Vaccaro A, Wilson JR, et al. Early versus delayed decompression for traumatic cervical spinal cord injury: results of the Surgical Timing in Acute Spinal Cord Injury Study (STASCIS). PLoS One 2012; 7:e32037.
    1. Ropper AE, Ropper AH. Acute spinal cord compression. N Engl J Med 2017; 376:1358–1369.
    1. Fehlings MG, Tetreault LA, Wilson JR, et al. A clinical practice guideline for the management of acute spinal cord injury: introduction, rationale, and scope. Global Spine J 2017; 7: (3 Suppl): 84S–94S.
    1. Ter Wengel PV, Feller RE, Stadhouder A, et al. Timing of surgery in traumatic spinal cord injury: a national, multidisciplinary survey. Eur Spine J 2018; 27:1831–1838.