Comparative study of functional recovery for surgically explored and conservatively managed spinal cord missile injuries

Neurosurgery
B AarabiA Kamgarpur

Abstract

In a retrospective study, the extent of functional recovery and the merits of surgical exploration versus conservative management for spinal cord injuries were evaluated for 145 casualties from the front lines of the Iran-Iraq conflict. Eighty-seven patients who underwent surgical exploration and 58 patients who were conservatively treated were monitored for 6 to 140 months (average, 57 +/- 31 mo) for any changes from their baseline neurological status, using the Frankel Scoring System. Twenty-two of 90 patients (24.4%) with complete injuries (Frankel score A) and 53 of 55 (96.4%) with incomplete injuries (Frankel scores B, C, and D) experienced changes in their neurological status as they recovered. Improvement was noted for 42 of 87 surgically treated patients (13 of 55 with complete injuries and 29 of 32 with incomplete injuries). Among conservatively treated patients, improvement was noted for 32 of 58 (55%), including 25.7% of those with complete injuries and 100% of those with incomplete injuries. Independent walking (Frankel scores D and E) was achieved by 10 of 90 patients with complete injuries and by 52 of 55 patients with incomplete injuries. Surgery did not affect the final outcome. Thirteen of 17 (76%) cerebrospina...Continue Reading

References

Jun 1, 1979·Southern Medical Journal·E SixJ M McWhorter
Mar 15, 1975·British Medical Journal·D S Gordon
May 1, 1975·Journal of Neurosurgery·J S HeidenM L Apuzzo
Aug 1, 1992·Neurosurgery·D P Robertson, R K Simpson
Dec 1, 1991·The Journal of Trauma·T KihtirW M Stahl
Sep 1, 1991·Journal of Spinal Disorders·T KaneR Adkins
Oct 1, 1990·Spine·P C KupchaJ M Cotler
Apr 1, 1989·Journal of Neurosurgery·B H VengerR K Narayan
Feb 1, 1987·Neurosurgery·E C BenzelJ E Coleman
Jul 1, 1984·Neurosurgery·A MariottiniG Paolella
Nov 1, 1995·Journal of Neurosurgery·M YanaseT Fukuda
May 1, 1995·Surgical Neurology·M A HammoudN A Moufarrij
May 1, 1993·Spine·D L HaffnerR Wiedbusch
May 1, 1960·Journal of Neurosurgery·I J SHERMAN
Sep 1, 1946·American Journal of Surgery·W G HAYNES

❮ Previous
Next ❯

Citations

Oct 22, 2005·Neurosurgery·Henry E AryanMichael L Levy
May 18, 2017·Korean Journal of Neurotrauma·Ulvi ÇiftçiDoğan Güçlühan
Mar 5, 2003·Clinical Orthopaedics and Related Research·Robert L Waters, Ien H Sie
Sep 22, 2010·British Journal of Neurosurgery·Paul GiganteE Sander Connolly
May 1, 2018·Topics in Spinal Cord Injury Rehabilitation·Mary Joan RoachMichael L Kelly
Jan 26, 2000·Critical Care Nursing Quarterly·J Sullivan
Mar 13, 2013·Clinical Orthopaedics and Related Research·Gursukhman S SidhuKristen E Radcliff
Jun 14, 2014·Journal of Neurosurgery. Spine·Narlin BeatyCharles A Sansur
Mar 5, 2016·Journal of Neurosurgery. Spine·Nima EftekharyKevin Rolfe
Feb 17, 2019·Journal of Neurosurgery. Spine·MirHojjat KhorasanizadehVafa Rahimi-Movaghar
Apr 30, 2014·Spinal Cord·T E P de Barros FilhoR Bilhar
May 10, 2019·Topics in Spinal Cord Injury Rehabilitation·Michael Liam KellyYuying Chen
Mar 5, 2003·Clinical Orthopaedics and Related Research·Edward E Cornwell
Nov 8, 2018·Advances in Orthopedics·Jackson Rucker StaggersSteven Michael Theiss
Feb 12, 2021·Global Spine Journal·Laurence GeAddisu Mesfin
Feb 4, 2021·Chinese Neurosurgical Journal·Haoyi Qi, Kunzheng Li
Sep 15, 2004·Seminars in Pediatric Surgery·Bryan A Cotton, Michael L Nance
May 11, 1999·Journal of the American College of Surgeons·A P Amar, M L Levy
Jul 20, 2021·Global Spine Journal·Andrew PlattEdwin Ramos

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Related Papers

The American Journal of Emergency Medicine
Bruria AdiniKobi Peleg
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
F Akhlaghi, F Aframian-Farnad
© 2021 Meta ULC. All rights reserved