Congress of Neurological Surgeons Systematic Evaluate and Proof-Based mostly Tips on the Analysis and Therapy of Sufferers With Thoracolumbar Backbone Trauma: Timing of Surgical Intervention.
Neurosurgery. 2018 Sep 06;:
Authors: Eichholz KM, Rabb CH, Anderson PA, Arnold PM, Chi JH, Dailey AT, Dhall SS, Harrop JS, Hoh DJ, Qureshi S, Raksin PB, Kaiser MG, O’Toole JE
QUESTION: Does early surgical intervention enhance outcomes for sufferers with thoracic and lumbar fractures?
RECOMMENDATIONS: There’s inadequate and conflicting proof concerning the impact of timing of surgical intervention on neurological outcomes in sufferers with thoracic and lumbar fractures. Power of Advice: Grade Inadequate It’s urged that “early” surgical procedure be thought of as an choice in sufferers with thoracic and lumbar fractures to cut back size of keep and problems. The obtainable literature has outlined “early” surgical procedure inconsistently, starting from <eight h to <72 h after harm. Power of Advice: Grade B The complete model of the rule could be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_10.
PMID: 30202868 [PubMed – as supplied by publisher]