Cervical Spine Trauma and Spinal Cord Injury Recommendations of WFNS Spine Committee
Makaleler > Tam Makale · 2020
Yazarlar: Mehmet ZİLELİ, Nikolay Konovalov, Salman Sharif
Neurospine, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2020, cilt 17, ss 704-707
Özet
In this issue of the Neurospine, you will find the "Cervical Spine Trauma and Spinal Cord Injury Recommendations of the World Federation of Neurosurgical Societies (WFNS) Spine Committee." Since the results of spinal cord injury (SCI) is a severe disability and a burden for society, this topic is one of the most important topics of the spinal disorders.WFNS Spine Committee has started to create recommendations for a variety of spinal disorders.First was cervical spondylotic myelopathy and ossification of the posterior longitudinal ligament, then lumbar spinal stenosis recommendations.We then created 2 consecutive consensus meetings to extract Cervical Spine Trauma and Spinal Cord Injury recommendations from the recent literature: The first meeting was in Moscow, Russia, on 31st June 2019.The second meeting was in Peshawar, Pakistan, on 15th November 2019.A group of neurosurgeons, orthopedic surgeons, physical therapy, and rehabilitation specialists have searched for the last 10 years of literature and created statements to provide the most up-todate solutions to this disease.Those statements were then discussed and voted to reach a consensus using Delphi technique.You will find 8 papers dedicated to prevention and management of "Cervical Spine Trauma and Spinal Cord Injury" in this special issue.In conclusion, 2 consensus meetings turned to recommendations.There were mainly 2 groups of presentations: First "Cervical Spine Trauma, " including 3 panels: (1) early management of cervical spine trauma, (2) upper cervical trauma, (3) subaxial cervical trauma.The other group was "Spinal Cord Injury." It has 5 panels: (1) early management of SCI, (2) pharmacologic and regenerative cell therapy for SCI, (3) pediatric cervical trauma, (4) SCI without radiographic abnormality (SCIWORA) outcomes of SCI, and (5) rehabilitation of SCI.The early management of cervical spine trauma was discussed in 3 main talks: prevention of spine trauma, transportation, and immobilization of patients with cervical spine trauma, and closed reduction of cervical spinal fractures.In a paper by Kumar et al., 1 the burden of traumatic spine injury was searched in World Health Organization regions and country income levels.The incidence of trauma in low and middle-income countries is relatively high, while most of the publications come from high-income countries with relatively low spinal trauma incidence.The global incidence of traumatic spinal injury is 10.5 cases per 100,000 persons annually.The most frequent reasons are road traffic accidents and falls.