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Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery()

OBJECTIVE: To identify the characteristics of patients with spinal cord injury (SCI) undergoing surgery. METHODS: Previously, 321 patients with SCI were selected. Clinical and socio-demographic variables were collected. RESULTS: A total of 211 patients were submitted to surgery. Fall and injuries in...

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Autores principales: Melo-Neto, João Simão de, Vidotto, Lara Eduarda Leite, Gomes, Fabiana de Campos, Morais, Dionei Freitas de, Tognola, Waldir Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582819/
https://www.ncbi.nlm.nih.gov/pubmed/28884108
http://dx.doi.org/10.1016/j.rboe.2016.07.003
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author Melo-Neto, João Simão de
Vidotto, Lara Eduarda Leite
Gomes, Fabiana de Campos
Morais, Dionei Freitas de
Tognola, Waldir Antonio
author_facet Melo-Neto, João Simão de
Vidotto, Lara Eduarda Leite
Gomes, Fabiana de Campos
Morais, Dionei Freitas de
Tognola, Waldir Antonio
author_sort Melo-Neto, João Simão de
collection PubMed
description OBJECTIVE: To identify the characteristics of patients with spinal cord injury (SCI) undergoing surgery. METHODS: Previously, 321 patients with SCI were selected. Clinical and socio-demographic variables were collected. RESULTS: A total of 211 patients were submitted to surgery. Fall and injuries in the upper cervical and lumbosacral regions were associated with conservative treatment. Patients with lesions in the lower cervical spine, worse neurological status, and unstable injuries were associated with surgery. Individuals undergoing surgery were associated with complications after treatment. The authors assessed whether age influenced the characteristics of patients submitted to surgery. Subjects with <60 years of age were associated with motorcycle accidents and the morphologies of injury were fracture-dislocation. Elderly individuals were associated to fall, SCI in the lower cervical spine and the morphology of injury was listhesis. Subsequently, the authors analyzed the gender characteristics in these patients. Women who suffered car accidents were associated to surgery. Women were associated with paraparesis and the morphologic diagnosis was fracture-explosion, especially in the thoracolumbar transition and lumbosacral regions. Men who presented traumatic brain injury and thoracic trauma were related to surgery. These individuals had a worse neurological status and were associated to complications. Men and the cervical region were most affected, thereby, these subjects were analyzed separately (n = 92). The presence of complications increased the length of hospital stay. The simultaneous presence of morphological diagnosis, worst neurological status, tetraplegia, sensory, and motor alterations were associated with complications. Pneumonia and chest trauma were associated with mortality. CONCLUSION: These factors enable investments in prevention, rehabilitation, and treatment.
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spelling pubmed-55828192017-09-07 Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery() Melo-Neto, João Simão de Vidotto, Lara Eduarda Leite Gomes, Fabiana de Campos Morais, Dionei Freitas de Tognola, Waldir Antonio Rev Bras Ortop Original Article OBJECTIVE: To identify the characteristics of patients with spinal cord injury (SCI) undergoing surgery. METHODS: Previously, 321 patients with SCI were selected. Clinical and socio-demographic variables were collected. RESULTS: A total of 211 patients were submitted to surgery. Fall and injuries in the upper cervical and lumbosacral regions were associated with conservative treatment. Patients with lesions in the lower cervical spine, worse neurological status, and unstable injuries were associated with surgery. Individuals undergoing surgery were associated with complications after treatment. The authors assessed whether age influenced the characteristics of patients submitted to surgery. Subjects with <60 years of age were associated with motorcycle accidents and the morphologies of injury were fracture-dislocation. Elderly individuals were associated to fall, SCI in the lower cervical spine and the morphology of injury was listhesis. Subsequently, the authors analyzed the gender characteristics in these patients. Women who suffered car accidents were associated to surgery. Women were associated with paraparesis and the morphologic diagnosis was fracture-explosion, especially in the thoracolumbar transition and lumbosacral regions. Men who presented traumatic brain injury and thoracic trauma were related to surgery. These individuals had a worse neurological status and were associated to complications. Men and the cervical region were most affected, thereby, these subjects were analyzed separately (n = 92). The presence of complications increased the length of hospital stay. The simultaneous presence of morphological diagnosis, worst neurological status, tetraplegia, sensory, and motor alterations were associated with complications. Pneumonia and chest trauma were associated with mortality. CONCLUSION: These factors enable investments in prevention, rehabilitation, and treatment. Elsevier 2016-12-29 /pmc/articles/PMC5582819/ /pubmed/28884108 http://dx.doi.org/10.1016/j.rboe.2016.07.003 Text en © 2016 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora Ltda. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Melo-Neto, João Simão de
Vidotto, Lara Eduarda Leite
Gomes, Fabiana de Campos
Morais, Dionei Freitas de
Tognola, Waldir Antonio
Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery()
title Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery()
title_full Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery()
title_fullStr Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery()
title_full_unstemmed Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery()
title_short Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery()
title_sort characteristics and clinical aspects of patients with spinal cord injury undergoing surgery()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5582819/
https://www.ncbi.nlm.nih.gov/pubmed/28884108
http://dx.doi.org/10.1016/j.rboe.2016.07.003
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