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Initial Assessment and Management of Patients with Spinal Cord Injury

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2018, 25(2), pp.81-89
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

Jun Young Seo 1 Jeehyun Yoo 2

1제주대학교 의학전문대학원 정형외과학교실
2인제대학교 의과대학 재활의학과

Accredited

ABSTRACT

Study Design: Literature review. Objectives: To summarize the most up-to-date information on the initial management and neurological examination of patients with spinal cord injury (SCI). Summary of Literature Review: Secondary injuries result from acute pathophysiological processes such as bleeding, hypoperfusion, inflammation, necrosis, and apoptosis around neural elements that initially survive a mechanical injury. Materials and Methods: Orthopedic surgeons must be familiar with the anatomy of the spinal cord and the initial management of a patient with SCI. A detailed neurological examination in accordance with the International Standards for the Neurological Classification of Spinal Cord Injury is a prerequisite. It is important to distinguish between spinal shock and neurogenic shock, which are characteristic phenomena in patients with SCI. Results: Rapid realignment of the spine and proper medical management to avoid hypoperfusion are important in the overall care of a patient with SCI. Conclusions: Patients with SCI should be managed and treated properly to enable them to return home and to their work as soon as possible.

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