Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression?
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, especial...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082012000400020&lng=en&tlng=en |
| _version_ | 1819085023273287680 |
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| author | Leonardo Giacomini Roger Neves Mathias Andrei Fernandes Joaquim Mateus Dal Fabbro Enrico Ghizoni Helder Tedeschi |
| author_facet | Leonardo Giacomini Roger Neves Mathias Andrei Fernandes Joaquim Mateus Dal Fabbro Enrico Ghizoni Helder Tedeschi |
| author_sort | Leonardo Giacomini |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-21T20:57:46Z |
| format | Article |
| id | doaj.art-120ad5823b764af1a75e7a1c7aed4fb6 |
| institution | Directory Open Access Journal |
| issn | 1679-4508 2317-6385 |
| language | English |
| last_indexed | 2024-12-21T20:57:46Z |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-120ad5823b764af1a75e7a1c7aed4fb62022-12-21T18:50:31ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082317-638510450851110.1590/S1679-45082012000400020S1679-45082012000400020Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression?Leonardo Giacomini0Roger Neves Mathias1Andrei Fernandes Joaquim2Mateus Dal Fabbro3Enrico Ghizoni4Helder Tedeschi5Universidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasParaplegia 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082012000400020&lng=en&tlng=endecompressionparaplegiaspinal injuries |
| spellingShingle | Leonardo Giacomini Roger Neves Mathias Andrei Fernandes Joaquim Mateus Dal Fabbro Enrico Ghizoni Helder Tedeschi Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression? Einstein (São Paulo) decompression paraplegia spinal injuries |
| title | 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_short | 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 |
| topic | decompression paraplegia spinal injuries |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082012000400020&lng=en&tlng=en |
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