Medical Communication Services after Traumatic Spinal Cord Injury

It is difficult to assess and monitor the spinal cord injury (SCI) because of its pathophysiology after injury, with different degrees of prognosis and various treatment methods, including laminectomy, durotomy, and myelotomy. Medical communication services with different factors such as time of sur...

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Autores principales: Alshorman, Jamal, Wang, Yulong, Zhu, Fengzhao, Zeng, Lian, Chen, Kaifang, Yao, Sheng, Jing, Xirui, Qu, Yanzhen, Sun, Tingfang, Guo, Xiaodong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Review Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424255/
https://www.ncbi.nlm.nih.gov/pubmed/34512936
http://dx.doi.org/10.1155/2021/4798927
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author Alshorman, Jamal
Wang, Yulong
Zhu, Fengzhao
Zeng, Lian
Chen, Kaifang
Yao, Sheng
Jing, Xirui
Qu, Yanzhen
Sun, Tingfang
Guo, Xiaodong
author_facet Alshorman, Jamal
Wang, Yulong
Zhu, Fengzhao
Zeng, Lian
Chen, Kaifang
Yao, Sheng
Jing, Xirui
Qu, Yanzhen
Sun, Tingfang
Guo, Xiaodong
author_sort Alshorman, Jamal
collection PubMed
description It is difficult to assess and monitor the spinal cord injury (SCI) because of its pathophysiology after injury, with different degrees of prognosis and various treatment methods, including laminectomy, durotomy, and myelotomy. Medical communication services with different factors such as time of surgical intervention, procedure choice, spinal cord perfusion pressure (SCPP), and intraspinal pressure (ISP) contribute a significant role in improving neurological outcomes. This review aims to show the benefits of communication services and factors such as ISP, SCPP, and surgical intervention time in order to achieve positive long-term outcomes after an appropriate treatment method in SCI patients. The SCPP was found between 90 and 100 mmHg for the best outcome, MAP was found between 110 and 130 mmHg, and mean ISP is ≤20 mmHg after injury. Laminectomy alone cannot reduce the pressure between the dura and swollen cord. Durotomy and duroplasty considered as treatment choices after severe traumatic spinal cord injury (TSCI).
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spelling pubmed-84242552021-09-09 Medical Communication Services after Traumatic Spinal Cord Injury Alshorman, Jamal Wang, Yulong Zhu, Fengzhao Zeng, Lian Chen, Kaifang Yao, Sheng Jing, Xirui Qu, Yanzhen Sun, Tingfang Guo, Xiaodong J Healthc Eng Review Article It is difficult to assess and monitor the spinal cord injury (SCI) because of its pathophysiology after injury, with different degrees of prognosis and various treatment methods, including laminectomy, durotomy, and myelotomy. Medical communication services with different factors such as time of surgical intervention, procedure choice, spinal cord perfusion pressure (SCPP), and intraspinal pressure (ISP) contribute a significant role in improving neurological outcomes. This review aims to show the benefits of communication services and factors such as ISP, SCPP, and surgical intervention time in order to achieve positive long-term outcomes after an appropriate treatment method in SCI patients. The SCPP was found between 90 and 100 mmHg for the best outcome, MAP was found between 110 and 130 mmHg, and mean ISP is ≤20 mmHg after injury. Laminectomy alone cannot reduce the pressure between the dura and swollen cord. Durotomy and duroplasty considered as treatment choices after severe traumatic spinal cord injury (TSCI). Hindawi 2021-08-31 /pmc/articles/PMC8424255/ /pubmed/34512936 http://dx.doi.org/10.1155/2021/4798927 Text en Copyright © 2021 Jamal Alshorman et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Alshorman, Jamal
Wang, Yulong
Zhu, Fengzhao
Zeng, Lian
Chen, Kaifang
Yao, Sheng
Jing, Xirui
Qu, Yanzhen
Sun, Tingfang
Guo, Xiaodong
Medical Communication Services after Traumatic Spinal Cord Injury
title Medical Communication Services after Traumatic Spinal Cord Injury
title_full Medical Communication Services after Traumatic Spinal Cord Injury
title_fullStr Medical Communication Services after Traumatic Spinal Cord Injury
title_full_unstemmed Medical Communication Services after Traumatic Spinal Cord Injury
title_short Medical Communication Services after Traumatic Spinal Cord Injury
title_sort medical communication services after traumatic spinal cord injury
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424255/
https://www.ncbi.nlm.nih.gov/pubmed/34512936
http://dx.doi.org/10.1155/2021/4798927
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