The Importance of Early Surgical Decompression for Acute Traumatic Spinal Cord Injury
Clinics in Orthopedic Surgery
;
: 448-454, 2018.
Artigo
em Inglês
| WPRIM
| ID: wpr-718647
ABSTRACT
BACKGROUND:
Traumatic spinal cord injury (SCI) is a tragic event that has a major impact on individuals and society as well as the healthcare system. The purpose of this study was to investigate the strength of association between surgical treatment timing and neurological improvement.METHODS:
Fifty-six patients with neurological impairment due to traumatic SCI were included in this study. From January 2013 to June 2017, all their medical records were reviewed. Initially, to identify the factors affecting the recovery of neurological deficit after an acute SCI, we performed univariate logistic regression analyses for various variables. Then, we performed a multivariate logistic regression analysis for variables that showed a p-value of < 0.2 in the univariate analyses. The Hosmer-Lemeshow test was used to determine the goodness of fit for the multivariate logistic regression model.RESULTS:
In the univariate analysis on the strength of associations between various factors and neurological improvement, the following factors had a p-value of < 0.2 surgical timing (early, < 8 hours; late, 8–24 hours; p = 0.033), completeness of SCI (complete/incomplete; p = 0.033), and smoking (p = 0.095). In the multivariate analysis, only two variables were significant surgical timing (odds ratio [OR], 0.128; p = 0.004) and completeness of SCI (OR, 9.611; p = 0.009).CONCLUSIONS:
Early surgical decompression within 8 hours after traumatic SCI appeared to improve neurological recovery. Furthermore, incomplete SCI was more closely related to favorable neurological improvement than complete SCI. Therefore, we recommend early decompression as an effective treatment for traumatic SCI.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fumaça
/
Medula Espinal
/
Traumatismos da Medula Espinal
/
Coluna Vertebral
/
Fumar
/
Modelos Logísticos
/
Prontuários Médicos
/
Análise Multivariada
/
Descompressão Cirúrgica
/
Descompressão
Tipo de estudo:
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2018
Tipo de documento:
Artigo
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