Abstract
The case histories of 198 consecutive traumatic spinal cord injured patients treated at the Mersey Regional Spinal Injuries Centre between 1975 and 1982 were reviewed. One hundred and seventy six were treated conservatively and 22 surgically. Functional outcome, complications, radiological reduction achieved and duration of initial hospital admission of the two groups are outlined. Prospective, multicentred trials are required to enable valid comparisons of treatments to be made. Patient expectations, state resources and local factors may determine which philosophy of spinal treatment is most appropriate for different centres in different countries.
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References
Bedbrook G 1981 The Care and Management of Spinal Cord Injuries. New York, Springer-Verlag.
Bracken m b, Collins W F et al 1984 Effect of Methylprednisolone in Acute Spinal Cord Injury. JAMA 251: 45–52.
Collins W F 1983 A review and update of experimental and clinical studies of spinal cord injury. Paraplegia 21: 204–219.
Donovan W H, Dwyer A P 1984 An Update on the Early Management of Traumatic Paraplegia (Nonoperative and Operative Management). Clinical Orthopaedics and Related Research 189: 12–21.
Frankel H L, Hancock D O, Hyslop G, Melzak J, Michaelis L S, Ungar G H, Vernon J D S, Walsh J J 1969 The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia. Paraplegia 7: 179–192.
Gaines R W, Humphreys W G 1984 A Plea for Judgement in Management of Thoracolumbar Fractures and Fracture Dislocations: A Reassessment of Surgical Indications. Clinical Orthopaedics and Related Research 189: 36–42.
Guttmann L 1973 Spinal Cord Injuries. Comprehensive Management and Research. Blackwell Scientific Publications, Oxford.
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Gardner, B., Theocleous, F. & Krishnan, K. Outcome following acute spinal cord injury: a review of 198 patients. Spinal Cord 26, 94–98 (1988). https://doi.org/10.1038/sc.1988.18
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DOI: https://doi.org/10.1038/sc.1988.18