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  4. Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery

Characteristics and clinical aspects of patients with spinal cord injury undergoing surgery

Rev Bras Ortop, 2017 · DOI: http://dx.doi.org/10.1016/j.rboe.2016.07.003 · Published: December 29, 2016

Spinal Cord InjurySurgeryPublic Health

Simple Explanation

This study aims to identify the characteristics of patients with spinal cord injury (SCI) who undergo surgery, analyzing factors such as age, gender, injury type, and complications. Data was collected from 321 patients with SCI, focusing on clinical and socio-demographic variables to understand the factors associated with surgical intervention and patient outcomes. The findings highlight specific risk factors and characteristics that influence treatment decisions, complications, and mortality, providing insights for improving prevention and treatment strategies.

Study Duration
2008 to 2012
Participants
321 patients with SCI, 211 submitted to surgery
Evidence Level
Not specified

Key Findings

  • 1
    Lower cervical spine lesions, worse neurological status, and unstable injuries were associated with surgery, while falls and upper cervical/lumbosacral injuries were linked to conservative treatment.
  • 2
    Motorcycle accidents and fracture-dislocations were more common in patients under 60, whereas falls and listhesis were more prevalent in elderly individuals.
  • 3
    Women who had car accidents were more likely to undergo surgery; men with traumatic brain injury and thoracic trauma also had higher surgery rates and worse neurological outcomes.

Research Summary

The study identified key characteristics of SCI patients undergoing surgery, including lesion location, neurological status, and injury morphology, influencing treatment decisions. Age and gender were significant factors; younger patients often had motorcycle accident-related injuries, while older patients experienced falls, and women with car accidents were more likely to undergo surgery. Complications and mortality rates were higher in specific patient subgroups, such as men with thoracic trauma and those with worse neurological status, emphasizing the need for tailored treatment and preventative measures.

Practical Implications

Prevention Strategies

Targeted prevention programs focusing on motorcycle safety for younger individuals and fall prevention for the elderly.

Personalized Treatment Plans

Tailored surgical and rehabilitation approaches based on patient age, gender, injury type, and neurological status to optimize outcomes.

Improved Clinical Management

Enhanced monitoring and early intervention strategies for high-risk patients, such as men with thoracic trauma, to reduce complications and mortality.

Study Limitations

  • 1
    Single-center study
  • 2
    Potential for selection bias
  • 3
    Lack of long-term follow-up data

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