Secondary damage management of acute traumatic spinal cord injury in low and middle-income countries: A survey on a global scale (Part III)

• In LMICs, several factor may affect the applicability of guidelines for secondary damage control of spinal cord injury. • In LMICs, the use of steroids for spinal cord injury is heterogeneous and admissions to an intensive care units are limited. • The delays for surgical decompression of spinal cord injury can be significan and vary across income and geographic region. • Transfer times seem to be the most common reason for surgical delay in all income and geographic regions. • Costs for surgery for spinal trauma may be a significant barrier to guideline adherence, especially in low-resource settings.