Acute spinal cord injury

W. Kirke Rogers, Michael Todd

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations

Abstract

Acute spinal cord injury (SCI) is a devastating event with high mortality and, among survivors, a high degree of morbidity due to both motor and sensory deficits. The damage that occurs with a SCI is recognized to be pathophysiologically biphasic: the initial insult to neural tissue can be followed by a secondary process of progressive ischemia that may worsen the severity of dysfunction. The extent of this secondary insult is potentially modifiable, and a variety of interventions have been studied in an attempt to improve motor and sensory outcomes. What follows is a brief review of some such procedural and pharmacologic interventions, including early decompressive surgery, use of methylprednisolone, and blood pressure and respiratory management, which have been proposed to improve outcomes after SCI.

Original languageEnglish (US)
Pages (from-to)27-39
Number of pages13
JournalBest Practice and Research: Clinical Anaesthesiology
Volume30
Issue number1
DOIs
StatePublished - Mar 1 2016

Keywords

  • GM-1 ganglioside
  • anesthesia
  • cervical cord
  • methylprednisolone
  • spinal cord compression
  • spinal cord injuries
  • trauma nervous system

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