Congress of neurological surgeons systematic review and evidence-based guidelines on the evaluation and treatment of patients with thoracolumbar spine trauma: Timing of surgical intervention

Kurt M. Eichholz, Craig H. Rabb, Paul A. Anderson, Paul M. Arnold, John H. Chi, Andrew T. Dailey, Sanjay S. Dhall, James S. Harrop, Daniel J. Hoh, Sheeraz Qureshi, P. B. Raksin, Michael G. Kaiser, John E. O'Toole

Research output: Contribution to journalReview articlepeer-review

Abstract

QUESTION: Does early surgical intervention improve outcomes for patients with thoracic and lumbar fractures? RECOMMENDATIONS: There is insufficient and conflicting evidence regarding the effect of timing of surgical intervention on neurological outcomes in patients with thoracic and lumbar fractures. Strength of Recommendation: Grade Insufficient It is suggested that "early" surgery be considered as an option in patients with thoracic and lumbar fractures to reduce length of stay and complications. The available literature has defined "early" surgery inconsistently, ranging from <8 h to <72 h after injury.

Original languageEnglish (US)
Pages (from-to)E53-E55
JournalClinical Neurosurgery
Volume84
Issue number1
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Keywords

  • Thoracic and lumbar fractures
  • Thoracic and lumbar fusion
  • Timing of surgery
  • Treatment of thoracic and lumbar fractures

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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