Analysis of Delays to Surgery for Cervical Spinal Cord Injuries

Spine
Andre M SamuelJonathan N Grauer

Abstract

A retrospective study of surgically treated patients with cervical spinal cord injury (SCI) from the National Trauma Data Bank Research Data Set. To determine how time to surgery differs between SCI subtypes, where delays before surgery occur, and what factors are associated with delays. Studies have shown that patients with cervical SCI undergoing surgery within 24 hours after injury have superior neurological outcomes to patients undergoing later surgery, with most evidence coming from the incomplete SCI subpopulation. Surgically treated patients with cervical SCI from 2011 and 2012 were identified in National Trauma Data Bank Research Data Set and divided into subpopulations of complete, central, and other incomplete SCIs. Relationships between surgical timing and patient and injury characteristics were analyzed using multivariate regression. A total of 2636 patients with cervical SCI were identified: 803 with complete SCI, 950 with incomplete SCI, and 883 with central SCI. The average time to surgery was 51.1 hours for patients with complete SCI, 55.3 hours for patients with incomplete SCI, and 83.1 hours for patients with central SCI. Only 44% of patients with SCI underwent surgery within the first 24 hours after injury, i...Continue Reading

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Citations

Feb 26, 2016·Clinical Orthopaedics and Related Research·Andre M SamuelJonathan N Grauer
Sep 1, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Daniel D BohlJonathan N Grauer
Mar 25, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·P V Ter WengelW P Vandertop
Jan 3, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Chengyue JiShunzhi Yu
Jun 27, 2021·Scientific Reports·Jetan H BadhiwalaChristopher D Witiw

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