Timing of thoracolomber spine stabilization in trauma patients; impact on neurological outcome and clinical course. A real prospective (rct) randomized controlled study

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dc.contributor.authorCengiz, Sahika Liva
dc.contributor.authorKalkan, Erdal
dc.contributor.authorBayir, Aysegul
dc.contributor.authorIlik, Kemal
dc.contributor.authorBasefer, Alper
dc.date.accessioned2020-03-26T17:28:19Z
dc.date.available2020-03-26T17:28:19Z
dc.date.issued2008
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective Optimal timing of stabilization for spinal injuries is discussed controversially. The goal of this study is to investigate the neurological recovery and its influencing factors in thoracolumbar spine fractures after surgical decompression and stabilization within 8 h of spinal cord injury versus surgery which is performed between 3 and 15 days. Methods Twenty-seven patients undergoing thoracolumbar stabilization with neurological deficit for an acute thoracolumbar spinal injury at the level of Th8-L2 vertebra at Selcuk University between March 2004 and December 2006 were recorded. Patients with neurological deficity and medically stable for surgery underwent immediate stabilization within 8 h defined as group I (n = 12) and patients underwent operation in 3-15 days after thoracolumbar injury were defined as group II (n = 15). Patients were assessed for neurologic deficit and improvement as defined by the scoring system of American spinal injury association (ASIA). Results In spite of comparable demographic data, patients in group I had a significantly shorter overall hospital and intensive care unit stay and had lesser systemic complications such as pneumonia and also exhibited better neurological improvement than group II (p < 0.05). Conclusion Early surgery may improve neurological recovery and decrease hospitalization time and also additional systemic complications in patients with thoracolomber spinal cord injuries. Thus early stabilization of thoracolumbar spine fractures within 8 h after trauma appears to be favorable.en_US
dc.identifier.doi10.1007/s00402-007-0518-1en_US
dc.identifier.endpage966en_US
dc.identifier.issn0936-8051en_US
dc.identifier.issn1434-3916en_US
dc.identifier.issue9en_US
dc.identifier.pmid18040702en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage959en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00402-007-0518-1
dc.identifier.urihttps://hdl.handle.net/20.500.12395/22757
dc.identifier.volume128en_US
dc.identifier.wosWOS:000258235700012en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectdecompressive surgeryen_US
dc.subjectneurological outcomeen_US
dc.subjectspinal cord injuryen_US
dc.subjectspine traumaen_US
dc.subjecttiming of operationen_US
dc.subjectthoracolomber fractureen_US
dc.titleTiming of thoracolomber spine stabilization in trauma patients; impact on neurological outcome and clinical course. A real prospective (rct) randomized controlled studyen_US
dc.typeArticleen_US

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