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KMID : 0388720180250020081
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Journal of Korean Society of Spine Surgery
2018 Volume.25 No. 2 p.81 ~ p.89
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Initial Assessment and Management of Patients with Spinal Cord Injury
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Seo Jun-Young
Yoo Jee-Hyun
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Abstract
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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.
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KEYWORD
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Spinal cord injury, Shock, Motor, Sensory, Reflex
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