Acute Traumatic Spinal Cord Injury

Neurol Clin. 2021 May;39(2):471-488. doi: 10.1016/j.ncl.2021.02.004. Epub 2021 Mar 31.

Abstract

Traumatic spinal cord injury is a common neurologic insult worldwide that can result in severe disability. Early stabilization of the patient's airway, breathing, and circulation as well as cervical and thoracolumbar spinal immobilization is necessary to prevent additional injury and optimize outcomes. Computed tomography (CT) scan and magnetic resonance imaging (MRI) of the spinal column can assist with determining the extent of bony and ligamentous injury, which will guide surgical management. With or without surgical intervention, patients with spinal cord injury require intensive care unit management and close observation to monitor for potential complications.

Keywords: Apoptosis; Corticosteroids; Mean arterial pressure; Quantitative magnetic resonance imaging; Spinal cord injury.

Publication types

  • Review

MeSH terms

  • Humans
  • Male
  • Spinal Cord Injuries* / diagnosis
  • Spinal Cord Injuries* / physiopathology
  • Spinal Cord Injuries* / therapy