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  4. Safety and Efficacy of Riluzole in Traumatic Spinal Cord Injury: A Systematic Review With Meta-Analyses

Safety and Efficacy of Riluzole in Traumatic Spinal Cord Injury: A Systematic Review With Meta-Analyses

Neurotrauma Reports, 2024 · DOI: 10.1089/neur.2023.0114 · Published: January 1, 2024

Spinal Cord InjuryPharmacologyNeurology

Simple Explanation

Traumatic spinal cord injury (SCI) often leads to long-term disability. This study investigates riluzole's effectiveness versus placebo or standard care. The study found that riluzole may improve motor scores and ASIA Impairment Scale (AIS) scores, though not significantly. Riluzole was associated with fewer adverse events and lower mortality, but these results were not statistically significant.

Study Duration
Not specified
Participants
378 patients
Evidence Level
Systematic Review with Meta-Analyses

Key Findings

  • 1
    Riluzole showed a trend toward increased ASIA motor scores at 3 and 6 months post-injury, but not statistically significant.
  • 2
    There was a trend toward improvement in ASIA Impairment Scale (AIS) at 3 and 6 months with riluzole, but not statistically significant.
  • 3
    Riluzole was associated with fewer adverse events and lower mortality compared to the control groups, but again, not statistically significant.

Research Summary

This study systematically reviewed and meta-analyzed the safety and efficacy of riluzole in patients with traumatic spinal cord injury (SCI). The meta-analyses included five studies and found that riluzole may improve neurological outcomes, but not to a statistically significant level. The study concludes that more robust, prospective randomized studies are needed to confirm the safety and efficacy of riluzole for traumatic SCI.

Practical Implications

Potential Therapeutic Agent

Riluzole may be a safe pharmacological treatment option in acute traumatic SCI, warranting further investigation.

Refine Treatment Protocols

Future studies should focus on determining the optimal dose, duration, and timing of riluzole administration for SCI.

Target Patient Populations

Further research should identify which patient subgroups with SCI may benefit most from riluzole treatment.

Study Limitations

  • 1
    Small sample sizes across included studies.
  • 2
    Lack of standardized riluzole dose and duration.
  • 3
    Heterogeneity in control interventions across studies.

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