Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression?
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082012000400020 |
Resumo: | Paraplegia is a well-defined state of complete motor deficit in lower limbs, regardless of sensory involvement. The cause of paraplegia usually guides treatment, however, some controversies remain about the time and benefits for spinal cord decompression in nontraumatic paraplegic patients, especially after 48 hours of the onset of paraplegia. The objective of this study was to evaluate the benefits of spinal cord decompression in such patients. We describe three patients with paraplegia secondary to non-traumatic spinal cord compression without sensory deficits, and who were surgically treated after more than 48 hours of the onset of symptoms. All patients, even those with paraplegia during more than 48 hours, had benefits from spinal cord decompression like recovery of gait ability. The duration of paraplegia, which influences prognosis, is not a contra-indication for surgery. The preservation of sensitivity in this group of patients should be considered as a positive prognostic factor when surgery is taken into account. |
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Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression?DecompressionParaplegiaSpinal injuries/complicationsParaplegia is a well-defined state of complete motor deficit in lower limbs, regardless of sensory involvement. The cause of paraplegia usually guides treatment, however, some controversies remain about the time and benefits for spinal cord decompression in nontraumatic paraplegic patients, especially after 48 hours of the onset of paraplegia. The objective of this study was to evaluate the benefits of spinal cord decompression in such patients. We describe three patients with paraplegia secondary to non-traumatic spinal cord compression without sensory deficits, and who were surgically treated after more than 48 hours of the onset of symptoms. All patients, even those with paraplegia during more than 48 hours, had benefits from spinal cord decompression like recovery of gait ability. The duration of paraplegia, which influences prognosis, is not a contra-indication for surgery. The preservation of sensitivity in this group of patients should be considered as a positive prognostic factor when surgery is taken into account.Instituto Israelita de Ensino e Pesquisa Albert Einstein2012-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082012000400020einstein (São Paulo) v.10 n.4 2012reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/S1679-45082012000400020info:eu-repo/semantics/openAccessGiacomini,LeonardoMathias,Roger NevesJoaquim,Andrei FernandesDal Fabbro,MateusGhizoni,EnricoTedeschi,Heldereng2013-01-22T00:00:00Zoai:scielo:S1679-45082012000400020Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2013-01-22T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? |
title |
Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? |
spellingShingle |
Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? Giacomini,Leonardo Decompression Paraplegia Spinal injuries/complications |
title_short |
Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? |
title_full |
Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? |
title_fullStr |
Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? |
title_full_unstemmed |
Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? |
title_sort |
Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? |
author |
Giacomini,Leonardo |
author_facet |
Giacomini,Leonardo Mathias,Roger Neves Joaquim,Andrei Fernandes Dal Fabbro,Mateus Ghizoni,Enrico Tedeschi,Helder |
author_role |
author |
author2 |
Mathias,Roger Neves Joaquim,Andrei Fernandes Dal Fabbro,Mateus Ghizoni,Enrico Tedeschi,Helder |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Giacomini,Leonardo Mathias,Roger Neves Joaquim,Andrei Fernandes Dal Fabbro,Mateus Ghizoni,Enrico Tedeschi,Helder |
dc.subject.por.fl_str_mv |
Decompression Paraplegia Spinal injuries/complications |
topic |
Decompression Paraplegia Spinal injuries/complications |
description |
Paraplegia is a well-defined state of complete motor deficit in lower limbs, regardless of sensory involvement. The cause of paraplegia usually guides treatment, however, some controversies remain about the time and benefits for spinal cord decompression in nontraumatic paraplegic patients, especially after 48 hours of the onset of paraplegia. The objective of this study was to evaluate the benefits of spinal cord decompression in such patients. We describe three patients with paraplegia secondary to non-traumatic spinal cord compression without sensory deficits, and who were surgically treated after more than 48 hours of the onset of symptoms. All patients, even those with paraplegia during more than 48 hours, had benefits from spinal cord decompression like recovery of gait ability. The duration of paraplegia, which influences prognosis, is not a contra-indication for surgery. The preservation of sensitivity in this group of patients should be considered as a positive prognostic factor when surgery is taken into account. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082012000400020 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082012000400020 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1679-45082012000400020 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.10 n.4 2012 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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1752129906707267584 |