Treatment of Acute Spinal Cord Injuries: A Survey Among Iberolatinoamerican Spine Surgeons – Part 1: Use of High-Dose Corticosteroids

This study aimed to understand how spine surgeons in Iberolatinoamerican countries are using methylprednisolone sodium succinate (MPSS) to treat acute spinal cord injuries (ASCIs). A survey was sent to surgeons to collect information on their use of MPSS, including dosage and timing. The results showed that the use of MPSS is not widespread, and there is still controversy regarding its use, likely due to limited evidence and variations in treatment protocols.

• 1
  Only 37.9% of surgeons reported using corticosteroids in the initial management of ASCIs.
• 2
  Among those who used corticosteroids, 65.2% used a high-dose bolus followed by perfusion.
• 3
  66.7% of surgeons who used MPSS only prescribed it within 8 hours of the ASCI.