surgery within 72 hours after vertebral trauma
decreased the occurrence of pneumonia, PUs, and any complication.
Performing the surgery within 24 hours after the
SCI further decreased the risk of complications. A more severe
neurologic impairment, severity of trauma, invasiveness of surgery,
and a cervical lesion rather than a thoracolumbar injury
were also associated with an increased complication
rate. We found that surgical timing is a major modifiable risk
factor associated with the complication rate after spinal surgery
following an acute traumatic SCI owing to an unstable
vertebral trauma. We recommend performing surgery of traumatic
SCI within 24 hours to reduce complication rate and
promote neurologic injury. When such timing is impossible to
respect, surgery should still be performed earlier than 72 hours
to reduce complication occurrence.
surgery within 72 hours after vertebral traumadecreased the occurrence of pneumonia, PUs, and any complication.Performing the surgery within 24 hours after theSCI further decreased the risk of complications. A more severeneurologic impairment, severity of trauma, invasiveness of surgery,and a cervical lesion rather than a thoracolumbar injurywere also associated with an increased complicationrate. We found that surgical timing is a major modifiable riskfactor associated with the complication rate after spinal surgeryfollowing an acute traumatic SCI owing to an unstablevertebral trauma. We recommend performing surgery of traumaticSCI within 24 hours to reduce complication rate andpromote neurologic injury. When such timing is impossible torespect, surgery should still be performed earlier than 72 hoursto reduce complication occurrence.
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