Charles Albert Elsberg (1871–1948) and his forgotten contributions to the treatment of Spinal Cord Injured patients

Spinal Cord Series and Cases, 2021 · DOI: https://doi.org/10.1038/s41394-021-00443-0 · Published: August 10, 2021

Simple Explanation

Charles Albert Elsberg established the first Neurosurgery Service in NYC and trained 200 neurological surgeons at the New York Neurosurgical School for the U.S. Army Medical Officers during World War I. Elsberg addressed surgical versus conservative approaches to penetrating SCI, attempts to regenerate the severed cord, civilian versus military injuries, complete versus incomplete damage, and stable paralysis versus progressive improvement. He also considered post-traumatic haematomyelia, rhizotomy benefits for spasticities, neurogenic bladder care, and root pain management via immobilization or decompressive laminectomy.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Not specified

Key Findings

1
Elsberg addressed the most important issues concerning SCI, long before Sir Ludwig Guttmann and Dr. Donald Munro.
2
Elsberg described indications and contraindications for laminectomy, prioritizing cases of tumor, trauma, and infection with localized symptoms.
3
He advocated for quick operations for patients with progressive symptoms, unless metastatic cancer or advanced Pott’s disease were present.

Research Summary

Charles Albert Elsberg (1871–1948) made significant contributions to neurosurgery and the treatment of spinal cord injuries, though his work is sometimes overlooked. Elsberg trained neurological surgeons during World War I and addressed various aspects of SCI treatment, including surgical approaches and post-operative care. He is remembered as an influential writer on spinal decompression and advocated for timely surgical intervention in specific cases of spinal cord compression.

Practical Implications

Historical Perspective

Recognizing Elsberg's contributions provides a better understanding of the evolution of spinal cord injury treatment.

Surgical Guidelines

Elsberg's work on laminectomy indications and contraindications offers insights for modern surgical decision-making.

Comprehensive Care

Elsberg's consideration of various SCI-related issues underscores the importance of comprehensive patient management.

Study Limitations

1
The paper relies on historical records and may lack contemporary clinical trial data.
2
The study does not include a systematic review or meta-analysis of Elsberg's surgical outcomes.
3
The paper does not delve into the specifics of Elsberg's surgical techniques or post-operative protocols.

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