Cargando…

Early Decompression in Acute Spinal Cord Injury : Review and Update

Spinal cord injury (SCI) has a significant negative effect on the quality of life due to permanent neurologic damage and economic burden by continuous treatment and rehabilitation. However, determining the correct approach to ensure optimal clinical outcomes can be challenging and remains highly con...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Byung-Jou, Jeong, Je Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurosurgical Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9837486/
https://www.ncbi.nlm.nih.gov/pubmed/36274255
http://dx.doi.org/10.3340/jkns.2022.0107
_version_ 1784869087162138624
author Lee, Byung-Jou
Jeong, Je Hoon
author_facet Lee, Byung-Jou
Jeong, Je Hoon
author_sort Lee, Byung-Jou
collection PubMed
description Spinal cord injury (SCI) has a significant negative effect on the quality of life due to permanent neurologic damage and economic burden by continuous treatment and rehabilitation. However, determining the correct approach to ensure optimal clinical outcomes can be challenging and remains highly controversial. In particular, with the introduction of the concept of early decompression in brain pathology, the discussion of the timing of decompression in SCI has emerged. In addition to that, the concept of “time is spine” has been added recently, and the mortality and complications caused by SCI have been reduced by providing timely and professional treatment to patients. However, there are many difficulties in establishing international clinical guidelines for the timing of early decompression in SCI because policies for each country and medical institution differ according to the circumstances of medical infrastructure and economic conditions in the surgical treatment of SCI. Therefore, we aim to provide a current review of timing of early decompression in patient with SCI.
format Online
Article
Text
id pubmed-9837486
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Korean Neurosurgical Society
record_format MEDLINE/PubMed
spelling pubmed-98374862023-01-23 Early Decompression in Acute Spinal Cord Injury : Review and Update Lee, Byung-Jou Jeong, Je Hoon J Korean Neurosurg Soc Review Article Spinal cord injury (SCI) has a significant negative effect on the quality of life due to permanent neurologic damage and economic burden by continuous treatment and rehabilitation. However, determining the correct approach to ensure optimal clinical outcomes can be challenging and remains highly controversial. In particular, with the introduction of the concept of early decompression in brain pathology, the discussion of the timing of decompression in SCI has emerged. In addition to that, the concept of “time is spine” has been added recently, and the mortality and complications caused by SCI have been reduced by providing timely and professional treatment to patients. However, there are many difficulties in establishing international clinical guidelines for the timing of early decompression in SCI because policies for each country and medical institution differ according to the circumstances of medical infrastructure and economic conditions in the surgical treatment of SCI. Therefore, we aim to provide a current review of timing of early decompression in patient with SCI. Korean Neurosurgical Society 2023-01 2022-10-25 /pmc/articles/PMC9837486/ /pubmed/36274255 http://dx.doi.org/10.3340/jkns.2022.0107 Text en Copyright © 2023 The Korean Neurosurgical Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Lee, Byung-Jou
Jeong, Je Hoon
Early Decompression in Acute Spinal Cord Injury : Review and Update
title Early Decompression in Acute Spinal Cord Injury : Review and Update
title_full Early Decompression in Acute Spinal Cord Injury : Review and Update
title_fullStr Early Decompression in Acute Spinal Cord Injury : Review and Update
title_full_unstemmed Early Decompression in Acute Spinal Cord Injury : Review and Update
title_short Early Decompression in Acute Spinal Cord Injury : Review and Update
title_sort early decompression in acute spinal cord injury : review and update
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9837486/
https://www.ncbi.nlm.nih.gov/pubmed/36274255
http://dx.doi.org/10.3340/jkns.2022.0107
work_keys_str_mv AT leebyungjou earlydecompressioninacutespinalcordinjuryreviewandupdate
AT jeongjehoon earlydecompressioninacutespinalcordinjuryreviewandupdate