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October 1995

Surgery for Spinal Cord Injuries

Author Affiliations

Annapolis, Md

Arch Neurol. 1995;52(10):942. doi:10.1001/archneur.1995.00540340018005

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


Nearly 50 000 persons sustain serious spinal column trauma annually. Approximately 10% to 20% of them suffer injury to the nervous system. When there is a complete deficit, the consequences are disastrous. With serious trauma, our standard guidelines of care must apply. Treating the bony spinal column, which surrounds the nervous system, requires special expertise. More and more of these patients are being treated surgically, because surgery achieves immediate stabilization and a more rapid entry into a rehabilitation program.

In this textbook, the initial chapters are devoted to timing and selection of the operative procedure. Choices are influenced by the exact neurologic deficit, and here the various syndromes are well described. Nuances of surgical care that include minimizing blood loss and proper intraoperative monitoring are well covered in their separate chapters. Thereafter, the book embarks on a consideration of specific areas of the spine and the treatment they require.


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