Current and future surgery strategies for spinal cord injuries

被引:27
作者
Dalbayrak, Sedat [1 ]
Yaman, Onur [2 ]
Yilmaz, Tevfik [3 ]
机构
[1] Neuro Spinal Acad, Dept Neurosurg, Neurosurg, TR-34940 Istanbul, Turkey
[2] Tepecik Educ & Training Hosp, Clin Neurosurg, TR-35110 Izmir, Turkey
[3] Dicle Univ, Fac Med, Dept Neurosurg, TR-21280 Diyarbakir, Turkey
来源
WORLD JOURNAL OF ORTHOPEDICS | 2015年 / 6卷 / 01期
关键词
Spinal cord injury; Surgery; Classification; Mechanism; Management;
D O I
10.5312/wjo.v6.i1.34
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Spinal cord trauma is a prominent cause of mortality and morbidity. In developed countries a spinal cord injury (SCI) occurs every 16 min. SCI occurs due to tissue destruction, primarily by mechanical and secondarily ischemic. Primary damage occurs at the time of the injury. It cannot be improved. Following the primary injury, secondary harm mechanisms gradually result in neuronal death. One of the prominent causes of secondary harm is energy deficit, emerging from ischemia, whose main cause in the early stage, is impaired perfusion. Due to the advanced techniques in spinal surgery, SCI is still challenging for surgeons. Spinal cord doesn't have a self-repair property. The main damage occurs at the time of the injury primarily by mechanical factors that cannot be improved. Secondarily mechanisms take part in the following sections. Spinal compression and neurological deficit are two major factors used to decide on surgery. According to advanced imaging techniques the classifications systems for spinal injury has been changed in time. Aim of the surgery is to decompress the spinal channel and to restore the spinal alinement and mobilize the patient as soon as possible. Use of neuroprotective agents as well as methods to achieve cell regeneration in addition to surgery would contribute to the solution.
引用
收藏
页码:34 / 41
页数:8
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