Timing of surgery following spinal cord injury

Shyam Kishan, Michael J. Vives, Mitchell F. Reiter

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: The optimal timing for surgical intervention after traumatic spinal injuries with spinal cord injury remains unclear. Design: Literature review. Findings: Multiple laboratory investigations (in animal models) and many clinical studies suggest better neurological outcomes with early surgical intervention. Conclusive evidence (well-designed randomized, controlled studies), however, is lacking, partly due to the logistics involved in executing such an investigation. Early surgery also appears to decrease the incidence of complications, reduces hospital stay, and helps reduce costs associated with acute management. Conclusion: Early surgical treatment is beneficial in terms of reducing complications, length of stay, and hospital costs. Further studies are needed to clearly demonstrate the impact of operative timing on neurological outcome.

Original languageEnglish (US)
Pages (from-to)11-19
Number of pages9
JournalJournal of Spinal Cord Medicine
Volume28
Issue number1
StatePublished - 2005
Externally publishedYes

Fingerprint

Spinal Cord Injuries
Length of Stay
Spinal Injuries
Hospital Costs
Animal Models
Costs and Cost Analysis
Incidence
Therapeutics
Clinical Studies

Keywords

  • Decompression
  • Fracture
  • Laminectomy
  • Methylprednisolone
  • Spinal cord injuries
  • Surgical intervention

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Kishan, S., Vives, M. J., & Reiter, M. F. (2005). Timing of surgery following spinal cord injury. Journal of Spinal Cord Medicine, 28(1), 11-19.

Timing of surgery following spinal cord injury. / Kishan, Shyam; Vives, Michael J.; Reiter, Mitchell F.

In: Journal of Spinal Cord Medicine, Vol. 28, No. 1, 2005, p. 11-19.

Research output: Contribution to journalArticle

Kishan, S, Vives, MJ & Reiter, MF 2005, 'Timing of surgery following spinal cord injury', Journal of Spinal Cord Medicine, vol. 28, no. 1, pp. 11-19.
Kishan S, Vives MJ, Reiter MF. Timing of surgery following spinal cord injury. Journal of Spinal Cord Medicine. 2005;28(1):11-19.
Kishan, Shyam ; Vives, Michael J. ; Reiter, Mitchell F. / Timing of surgery following spinal cord injury. In: Journal of Spinal Cord Medicine. 2005 ; Vol. 28, No. 1. pp. 11-19.
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