Initial Assessment and Management of Patients with Spinal Cord Injury
10.4184/jkss.2018.25.2.81
- Author:
Jun Yeong SEO
1
;
Jeehyun YOO
Author Information
1. Department of Orthopaedic Surgery, Jeju National University Hospital, School of Medicine, Jeju National University, Jeju, Korea. jys@jejunu.ac.kr
- Publication Type:Review
- Keywords:
Spinal cord injury;
Shock;
Motor;
Sensory;
Reflex
- MeSH:
Apoptosis;
Classification;
Hemorrhage;
Humans;
Inflammation;
Necrosis;
Neurologic Examination;
Orthopedics;
Reflex;
Shock;
Spinal Cord Injuries;
Spinal Cord;
Spine;
Surgeons
- From:Journal of Korean Society of Spine Surgery
2018;25(2):81-89
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Literature review. OBJECTIVES: To summarize the most up-to-date information on the initial management and neurological examination of patients with spinal cord injury (SCI). SUMMARY OF LITERATURE REVIEW: Secondary injuries result from acute pathophysiological processes such as bleeding, hypoperfusion, inflammation, necrosis, and apoptosis around neural elements that initially survive a mechanical injury. MATERIALS AND METHODS: Orthopedic surgeons must be familiar with the anatomy of the spinal cord and the initial management of a patient with SCI. A detailed neurological examination in accordance with the International Standards for the Neurological Classification of Spinal Cord Injury is a prerequisite. It is important to distinguish between spinal shock and neurogenic shock, which are characteristic phenomena in patients with SCI. RESULTS: Rapid realignment of the spine and proper medical management to avoid hypoperfusion are important in the overall care of a patient with SCI. CONCLUSIONS: Patients with SCI should be managed and treated properly to enable them to return home and to their work as soon as possible.
