Chapter

Early decompression of the spinal cord following injury: arguments for and against

W. S. El Masri and D. V. Meerkotter

in Spinal Cord Dysfunction: Volume II: Intervention and Treatment

Published in print December 1991 | ISBN: 9780192617873
Published online March 2012 | e-ISBN: 9780191724312 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192617873.003.0002
Early decompression of the spinal cord following injury: arguments for and against

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The management of the traumatized spinal cord has remained controversial over the past half century. Arguments for and against each treatment modality exist. Each is equally likely to be adopted or disparaged until possibly all factors hindering spinal cord recovery are identified. Direct comparison between surgery and conservative management in a series of unselected patients would contribute to solving the controversy. The difficulties with the design of studies and the statistical evaluation of the results should not be underestimated. Problems of designing such comparative clinical studies are to be expected, since, even in the controlled animal studies, reproducibility is not always possible.

Keywords: traumatized spinal chord; treatment modality; spinal chord recovery; surgery; conservative management; clinical studies; controlled animal studies

Chapter.  7801 words.  Illustrated.

Subjects: Neuroscience

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