Timing of Decompressive Surgery in Patients With Acute Spinal Cord Injury: Systematic Review Update.

ABSTRACT:

Study design

Systematic review and meta-analysis.

Objective

Surgical decompression is a cornerstone in the management of patients with traumatic spinal cord injury (SCI); however, the influence of the timing of surgery on neurological recovery after acute SCI remains controversial. This systematic review aims to summarize current evidence on the effectiveness, safety, and cost-effectiveness of early (≤24 hours) or late (>24 hours) surgery in patients with acute traumatic SCI for all levels of the spine. Furthermore, this systematic review aims to evaluate the evidence with respect to the impact of ultra-early surgery (earlier than 24 hours from injury) on these outcomes.

Methods

A systematic search of the literature was performed using the MEDLINE database (PubMed), C

SUBMITTER: Fehlings MG 

PROVIDER: S-EPMC10964893 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature