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Surgical Considerations to Improve Recovery in Acute Spinal Cord Injury

Journal

NEUROSPINE
Volume 19, Issue 3, Pages 689-702

Publisher

KOREAN SPINAL NEUROSURGERY SOC
DOI: 10.14245/ns.2244616.308

Keywords

Spinal cord injuries; Spinal injuries; Neurosurgery; Hemodynamics; Surgical decompression; Ethics

Funding

  1. Duke Institute

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Acute traumatic spinal cord injury can have devastating and costly effects on individuals, families, and the healthcare system as a whole. Recognition and rapid treatment of the condition are crucial in limiting secondary injury, reducing morbidity, and maximizing chances of functional recovery.
Acute traumatic spinal cord injury (SCI) can be a devastating and costly event for individu-als, their families, and the health system as a whole. Prognosis is heavily dependent on the physical extent of the injury and the severity of neurological dysfunction. If not treated ur-gently, individuals can suffer exacerbated secondary injury cascades that may increase tis-sue injury and limit recovery. Initial recognition and rapid treatment of acute SCI are vital to limiting secondary injury, reducing morbidity, and providing the best chance of func-tional recovery. This article aims to review the pathophysiology of SCI and the most up-to-date management of the acute traumatic SCI, specifically examining the modern approach-es to surgical treatments along with the ethical limitations of research in this field.

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