Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)

Author:

Picetti Edoardo,Demetriades Andreas K.,Catena Fausto,Aarabi Bizhan,Abu-Zidan Fikri M.,Alves Oscar L.,Ansaloni Luca,Armonda Rocco A.,Badenes Rafael,Bala Miklosh,Balogh Zsolt J.,Barbanera Andrea,Bertuccio Alessandro,Biffl Walter L.,Bouzat Pierre,Buki Andras,Castano-Leon Ana Maria,Cerasti Davide,Citerio Giuseppe,Coccolini Federico,Coimbra Raul,Coniglio Carlo,Costa Francesco,De Iure Federico,Depreitere Bart,Fainardi Enrico,Fehlings Michael J.,Gabrovsky Nikolay,Godoy Daniel Agustin,Gruen Peter,Gupta Deepak,Hawryluk Gregory W. J.,Helbok Raimund,Hossain Iftakher,Hutchinson Peter J.,Iaccarino Corrado,Inaba Kenji,Ivanov Marcel,Kaprovoy Stanislav,Kirkpatrick Andrew W.,Klein Sam,Kolias Angelos,Konovalov Nikolay A.,Lagares Alfonso,Lippa Laura,Loza-Gomez Angelica,Luoto Teemu M.,Maas Andrew I. R.,Maciejczak Andrzej,Maier Ronald V.,Marklund Niklas,Martin Matthew J.,Melloni Ilaria,Mendoza-Lattes Sergio,Meyfroidt Geert,Munari Marina,Napolitano Lena M.,Okonkwo David O.,Otomo Yasuhiro,Papadopoulos Marios C.,Petr Ondra,Peul Wilco C.,Pudkrong Aichholz K.,Qasim Zaffer,Rasulo Frank,Reizinho Carla,Ringel Florian,Rizoli Sandro,Rostami Elham,Rubiano Andres M.,Russo Emanuele,Sarwal Aarti,Schwab Jan M.,Servadei Franco,Sharma Deepak,Sharif Salman,Shiban Ehab,Shutter Lori,Stahel Philip F.,Taccone Fabio S.,Terpolilli Nicole A.,Thomé Claudius,Toth Peter,Tsitsopoulos Parmenion P.,Udy Andrew,Vaccaro Alexander R.,Varon Albert J.,Vavilala Monica S.,Younsi Alexander,Zackova Monika,Zoerle Tommaso,Robba Chiara

Abstract

Abstract Background The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. Methods A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted. Results A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak). Conclusions This consensus provides practical recommendations to support a clinician’s decision making in the management of tSCI polytrauma patients.

Publisher

Springer Science and Business Media LLC

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