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September 5, 1977

The Total Care of Spinal Cord Injuries

JAMA. 1977;238(10):1075. doi:10.1001/jama.1977.03280110079033

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This liberally illustrated, treatmentoriented volume describes the approach of American orthopedists and rehabilitation therapists to the management of spinal cord injury. Its 16 chapters discuss the course of management from the first few moments after injury through the subsequent years of therapy that are necessary to restore the patient to physical, vocational, and emotional well-being.

Practicality is the theme of the book. Some chapters are excellent in outlining effective therapy that has been developed by experienced traumatologists over many years. Shannon Stauffer's chapter on "Long-Term Management of Traumatic Quadriplegia" is particularly worthwhile. The several chapters on occupational therapy, physical therapy, orthotics, and nursing care are also effectively presented.

Certain aspects of spinal cord injury management receive surprisingly little attention in a book of this scope, however. Neurosurgeons who treat patients with spinal cord injury will find only a cursory discussion of the neurological syndromes that result from cord lesions. The