Publikation

Early surgical intervention for acute spinal cord injury: time is spine.

Wissenschaftlicher Artikel/Review - 19.07.2023

Bereiche
PubMed
DOI
Kontakt

Zitation
Quddusi A, Pedro K, Alvi M, Hejrati N, Fehlings M. Early surgical intervention for acute spinal cord injury: time is spine. Acta Neurochir (Wien) 2023; 165:2665-2674.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Acta Neurochir (Wien) 2023; 165
Veröffentlichungsdatum
19.07.2023
eISSN (Online)
0942-0940
Seiten
2665-2674
Kurzbeschreibung/Zielsetzung

Acute traumatic spinal cord injury (tSCI) is a devastating occurrence that significantly contributes to global morbidity and mortality. Surgical decompression with stabilization is the most effective way to minimize the damaging sequelae that follow acute tSCI. In recent years, strong evidence has emerged that supports the rationale that early surgical intervention, within 24 h following the initial injury, is associated with a better prognosis and functional outcomes. In this review, we have summarized the evidence and elaborated on the nuances of this concept. Additionally, we have reviewed further concepts that stem from "time is spine," including earlier cutoffs less than 24 h and the challenging entity of central cord syndrome, as well as the emerging concept of adequate surgical decompression. Lastly, we identify barriers to early surgical care for acute tSCI, a key aspect of spine care that needs to be globally addressed via research and policy on an urgent basis.