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2017 ; 7
(3 Suppl
): 84S-94S
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English Wikipedia
A Clinical Practice Guideline for the Management of Acute Spinal Cord Injury:
Introduction, Rationale, and Scope
#MMPMID29164036
Fehlings MG
; Tetreault LA
; Wilson JR
; Kwon BK
; Burns AS
; Martin AR
; Hawryluk G
; Harrop JS
Global Spine J
2017[Sep]; 7
(3 Suppl
): 84S-94S
PMID29164036
show ga
Acute spinal cord injury (SCI) is a traumatic event that results in disturbances
to normal sensory, motor, or autonomic function and ultimately affects a
patient's physical, psychological, and social well-being. The management of
patients with SCI has drastically evolved over the past century as a result of
increasing knowledge on injury mechanisms, disease pathophysiology, and the role
of surgery. There still, however, remain controversial areas surrounding
available management strategies for the treatment of SCI, including the use of
corticosteroids such as methylprednisolone sodium succinate, the optimal timing
of surgical intervention, the type and timing of anticoagulation prophylaxis, the
role of magnetic resonance imaging, and the type and timing of rehabilitation.
This lack of consensus has prevented the standardization of care across treatment
centers and among the various disciplines that encounter patients with SCI. The
objective of this guideline is to form evidence-based recommendations for these
areas of controversy and outline how to best manage patients with SCI. The
ultimate goal of these guidelines is to improve outcomes and reduce morbidity in
patients with SCI by promoting standardization of care and encouraging clinicians
to make evidence-informed decisions.