Orthopaedic Surgery Research Group
Steroids for Spinal Cord Injury Available evidence does not support the use of steroids in spinal cord injuryFollowing this review, members of the trauma-list are signing a letter to present to the American College of Surgeons ATLS subcommittee asking them to revise the ATLS position on the use of steroids in spinal cord injury. If you agree … Continue reading Steroids for Spinal Cord Injury: is it beneficial?
SCIWORA (spinal cord injury without radiologic abnormality) http://www.orthopaedia.com/display/Main/Spinal+cord+injury (My article on ORTHOPAEDIA)The term SCIWORA (spinal cord injury without radiologic abnormality) originally referred to spinal cord injury without radiographic or CT evidence of fracture or dislocation.However with the advent of MRI, the term has become ambiguous. Findings on MRI such as intervertebral disk rupture, spinal epidural … Continue reading SCIWORA (spinal cord injury without radiologic abnormality)
Treatment of Acute Spinal Cord Injury:Methylprednisolone: Bolus dose of 30 mg/kg of body weight over 15 minutes, followed by a 45-minute pause, and then a 23-hour continuous infusion of 5.4 mg/kg/hr. (Bracken Regime or NASCIS II PROTOCOL).In the NASCIS III protocol, * The dose mentioned in NASCIS 2 for 24 h if patient presents ❤ … Continue reading NASCIS III Protocol :SCI treatment
