4.5 Review

Systemic Complications of Spinal Cord Injury

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Publisher

SPRINGER
DOI: 10.1007/s11910-017-0715-4

Keywords

Spinal cord; Injury; Shock; Trauma; Autonomic; Dysreflexia

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Purpose of Review To review the acute and chronic systemic complications of spinal cord injury and discuss treatment recommendations. Recent Findings The psychological, social, economic, and permanent neurologic effects associated with spinal cord injury (SCI) have universally persisted over time. Treating acute complications and preventing secondary injury can influence outcome, highlighting the importance of proper management of this patient population. Summary Spinal cord injury (SCI) is due to traumatic or non-traumatic causes. Outcome depends on the level of injury and degree of sensorimotor deficits. After the primary injury occurs, it is crucial to detect and treat secondary mechanisms of injury. Correct method of intubation, preventing avoidable complications, and treating cardiovascular, pulmonary, renal, and infectious systemic complications are crucial as they all impact morbidity and mortality in SCI patients.

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