Early Management of Spinal Cord Injury: WFNS Spine Committee Recommendations

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dc.contributor.authorSoriano Sanchez, Jose Antonio
dc.contributor.authorSharif, Salman
dc.contributor.authorCosta, Francesco
dc.contributor.authorRomero Rangel, Jose Alberto Israel
dc.contributor.authorAnania, Carla Daniela
dc.contributor.authorZileli, Mehmet
dc.date.accessioned2021-05-03T20:36:43Z
dc.date.available2021-05-03T20:36:43Z
dc.date.issued2020
dc.departmentEge Üniversitesien_US
dc.description.abstractScientific knowledge today is being generated more rapidly than we can assimilate thus requiring continuous review of gold-standards for diagnosis and treatment of specific pathologies. The aim of this paper is to provide an update on the best early management of spinal cord injury (SCI), in order to produce acceptable worldwide recommendations to standardize clinical practice as much as possible. The WFNS Spine Committee voted recommendations regarding management of SCI based on literature review of the last 10 years. The committee stated 9 recommendations on 3 main topics: (1) clinical assessment and classification of SCI; (2) emergency care and early management; (3) cardiopulmonary management. American Spinal Injury Association impairment scale, Spinal Cord Independence Measure, and International Spinal Cord Injury Basic Pain Data Set are considered the most useful and feasible in emergency evaluation and follow-up in case of SCI. Magnetic resonance imaging is the most indicated examination to evaluate patients with symptomatic SCI. in early phase, correction of hypotension (systolic blood pressure < 90 mmHg), and bradycardia are strongly recommended. Surgical decompression should be performed as soon as possible with the ideal surgical time being within 8 hours for both complete and incomplete lesions.en_US
dc.identifier.doi10.14245/ns.2040366.183en_US
dc.identifier.endpage784en_US
dc.identifier.issn2586-6583
dc.identifier.issn2586-6591
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85099465216en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage759en_US
dc.identifier.urihttps://doi.org/10.14245/ns.2040366.183
dc.identifier.urihttps://hdl.handle.net/11454/70171
dc.identifier.volume17en_US
dc.identifier.wosWOS:000604731600009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKorean Spinal Neurosurgery Socen_US
dc.relation.ispartofNeurospineen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGuidelinesen_US
dc.subjectSpinal corden_US
dc.subjectAssessmenten_US
dc.subjectEmergency careen_US
dc.subjectCardiopulmonary managementen_US
dc.titleEarly Management of Spinal Cord Injury: WFNS Spine Committee Recommendationsen_US
dc.typeReview Articleen_US

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