Congress of Neurological Surgeons Systematic Evaluation and Proof-Primarily based Pointers on the Analysis and Therapy of Sufferers With Thoracolumbar Backbone Trauma: Neurological Evaluation.
Neurosurgery. 2018 Sep 03;:
Authors: Harrop JS, Chi JH, Anderson PA, Arnold PM, Dailey AT, Dhall SS, Eichholz KM, Hoh DJ, Qureshi S, Rabb CH, Raksin PB, Kaiser MG, O’Toole JE
QUESTION 1: Which neurological evaluation instruments have demonstrated inside reliability and validity within the administration of sufferers with thoracic and lumbar fractures (ie, do these devices present constant info between completely different care suppliers)?
RECOMMENDATION 1: Quite a few neurologic evaluation scales (Purposeful Independence Measure, Sunnybrook Wire Damage Scale and Frankel Scale for Spinal Wire Damage) have demonstrated inside reliability and validity within the administration of sufferers with thoracic and lumbar fractures. Sadly, different contemporaneous measurement scales (ie, American Spinal Wire Damage Affiliation Impairment Scale) haven’t been particularly studied in sufferers with thoracic and lumbar fractures. Power of Advice: Grade C.
QUESTION 2: Are there any medical findings (eg, presenting neurological grade/perform) in sufferers with thoracic and lumbar fractures that may help in predicting medical outcomes?
RECOMMENDATION 2: Entry American Spinal Damage Affiliation Impairment Scale grade, sacral sensation, ankle spasticity, urethral and rectal sphincter perform, and AbH motor perform can be utilized to foretell neurological perform and final result in sufferers with thoracic and lumbar fractures (Desk I https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_4_table1). Power of Advice: Grade B The complete model of the rule of thumb will be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_4.
PMID: 30203084 [PubMed – as supplied by publisher]