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Management of traumatic spinal cord injury 

Management of traumatic spinal cord injury
Chapter:
Management of traumatic spinal cord injury
Author(s):

David M. Panczykowski

, David O. Okonkwo

, and Richard M. Spiro

DOI:
10.1093/med/9780199777709.003.0014
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date: 21 September 2018

In the United States, the annual incidence of traumatic spinal cord injury (SCI) ranges from 25 to 58 per million people.Primary Injury is defined as neuronal death or dysfunction as a consequence ofinitial impact, transient or persistent compression, distraction, and laceration/transection. Secondary Injury involves progressive ischemic, inflammatory, and cytotoxic processes initiated or potentiated by systemic and/or local insults.Initial assessment should be in accordance with Advanced Trauma Life-Supportrecommendations, beginning with an evaluation of airway, breathing, and circulatoryfunction.Patients with acute traumatic SCI should be managed at a Level I trauma centerbecause these centers have demonstrated better outcomes. Patients sufferingSCI, regardless of severity, frequently experience cardiovascular instability andpulmonary insufficiency necessitating vigilant monitoring.

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