Traumatic Spinal Cord Injuries: An Evidence-based Practice Approach
|Consultant in Spinal Injuries and Rehabilitation Medicine, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK|
|*Corresponding Author :||Naveen Kumar
Consultant in Spinal Injuries and Rehabilitation Medicine
Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK
Tel: +44 1691 404000
E-mail: [email protected]
|Received February 25, 2016; Accepted March 08, 2016; Published March 10, 2016|
|Citation: Kumar N (2016) Traumatic Spinal Cord Injuries: An Evidence-based Practice Approach. J Spine S7:006.doi:10.4172/2165-7939.S7-006|
|Copyright: © 2016 Kumar N. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
This article deals with the main issues of management of traumatic spinal cord injury discussing - physiological instability, prognostic determinants of recovery, natural history, care in supine position, mobilization, canal encroachment, cord compression, and indications for surgery.
A review of relevant literature has been done including the STASCIS study to try and explore whether early or late surgery for traumatic spinal cord injury is better than conservative management.
It reflects the ethos of Active Physiological Conservative Management for these patients at RJ&AH Orthopaedic Hospital.
Considering the lack of credible evidence demonstrating superiority of outcome with surgery compared to early active management of the traumatic spinal injury, patients should be encouraged to make an informed choice.