A clinical practice guideline for the management of acute spinal cord injury: introduction, rationale, and scope

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dc.contributor.authorFehlings, Michael G.
dc.contributor.authorTetreault, Lindsay A.
dc.contributor.authorWilson, Jefferson R.
dc.contributor.authorKwon, Brian K.
dc.contributor.authorBurns, Anthony S.
dc.contributor.authorMartin, Allan R.
dc.contributor.authorHawryluk, Gregory
dc.contributor.authorHarrop, James S.
dc.contributor.funderDeZwirek Family Foundation
dc.contributor.funderGerald and Tootsie Halbert Chair in Neural Repair and Regeneration
dc.contributor.funderCongress of Neurological Surgeons
dc.contributor.funderAmerican Association of Neurological Surgeons
dc.contributor.funderAOSpine
dc.contributor.funderKrembil Foundation
dc.date.accessioned2018-06-15T11:47:13Z
dc.date.available2018-06-15T11:47:13Z
dc.date.issued2017
dc.description.abstractAcute spinal cord injury (SCI) is a traumatic event that results in disturbances to normal sensory, motor, or autonomic function and ultimately affects a patient's physical, psychological, and social well-being. The management of patients with SCI has drastically evolved over the past century as a result of increasing knowledge on injury mechanisms, disease pathophysiology, and the role of surgery. There still, however, remain controversial areas surrounding available management strategies for the treatment of SCI, including the use of corticosteroids such as methylprednisolone sodium succinate, the optimal timing of surgical intervention, the type and timing of anticoagulation prophylaxis, the role of magnetic resonance imaging, and the type and timing of rehabilitation. This lack of consensus has prevented the standardization of care across treatment centers and among the various disciplines that encounter patients with SCI. The objective of this guideline is to form evidence-based recommendations for these areas of controversy and outline how to best manage patients with SCI. The ultimate goal of these guidelines is to improve outcomes and reduce morbidity in patients with SCI by promoting standardization of care and encouraging clinicians to make evidence-informed decisions.en
dc.description.sponsorshipKrembil Foundation (Postdoctoral Fellowship Award); American Association of Neurological Surgeons/Congress of Neurological Surgeons (Neurotrauma and Critical Care)en
dc.description.statusPeer reviewed
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFehlings, M. G., Tetreault, L. A., Wilson, J. R., Kwon, B. K., Burns, A. S., Martin, A. R., Hawryluk, G. and Harrop, J. S. (2017) 'A clinical practice guideline for the management of acute spinal cord injury: introduction, rationale, and scope', Global Spine Journal, 7(3S), pp. 84S-94S. doi: 10.1177/2192568217703387en
dc.identifier.doi10.1177/2192568217703387
dc.identifier.endpage94S
dc.identifier.issn2192-5682
dc.identifier.journaltitleGlobal Spine Journalen
dc.identifier.startpage84S
dc.identifier.urihttps://hdl.handle.net/10468/6333
dc.identifier.volume7
dc.language.isoenen
dc.publisherSage Publishingen
dc.relation.urihttp://journals.sagepub.com/doi/10.1177/2192568217703387
dc.rights© 2017, the Authors. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).en
dc.rights.urihttp://www.creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectClinical guidelineen
dc.subjectTraumatic spinal cord injuryen
dc.subjectSpinal cord injuryen
dc.subjectAcute spinal cord injuryen
dc.titleA clinical practice guideline for the management of acute spinal cord injury: introduction, rationale, and scopeen
dc.typeArticle (peer-reviewed)en
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