Estudo retrospectivo dos resultados da utilização do halo craniano nas fraturas-luxações subaxiais

Damasceno, Marcelo Loquette; Letaif, Olavo Biraghi; Cristante, Alexandre Fogaça; Marcon, Raphael Martus; Iutaka, Alexandre Sadao; Oliveira, Reginaldo Perilo; Filho, Tarcísio Eloy Pessoa de Barros

doi:10.1590/s1808-18512010000400006

Cited by 5 publications

(4 citation statements)

References 18 publications

(13 reference statements)

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“…As omega-3 fatty acid usually modify multiple pathways that are responsible for secondary damage following SCI. Studies have confirmed that subjects who are administrating long-chain omega-3 fatty acid before injury they restore cord lipid homeostasis, exerts neuroprotection, dysfunction of sensorimotor, and neuropathic pain is prevented by omega-3 fatty acid as well it promotes locomotor recovery both in acute & sensory phase of SCI [73]. One of the studies on SCI-induced rats has proved the neuroprotective effect of omega-3 fatty acid, it mainly suppresses the activation of inflammasomes following SCI.…”

Section: Nutritional Supplementationmentioning

confidence: 88%

“…In the case of SCI repair, surgical techniques are used for more than 40 years [71,72], most commonly used approach is surgical decompression with or without arthrodesis, but the chances of cervical and thoracic SCI subjects to walk is only 1% to 1.8% after an attempted surgical decompression [73]. Surgery plays a major role in spinal alignment, nerve decompression, and stabilization of the spine, which helps to prevent additional neurological injury.…”

Section: Therapeutic Possibilitiesmentioning

confidence: 99%

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Spinal Cord Injury Prevalence and Treatment Modalities

Ara¹,

Singh²,

Raj³

et al. 2023

Spinal Cord Injury - Current Trends in Acute Management, Function Preservation and Rehabilitation Protocols

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Spinal cord injury (SCI) is a devasting neurological condition producing physical dependency, morbidity, psychological stress, and financial burden. During the last 30 years, its global prevalence has increased from 236 to 1298 cases per million populations. Two types of spinal cord injury are primary and secondary injury. Primary injury is mechanical damage to the cord itself whereas secondary injury results from one or more biochemical and cellular processes that are triggered by the primary lesion. In 1700 BC, in an Egyptian surgical papyrus, they describe the frustration of health care professionals in treating a severe spinal cord injury, the Papyrus reported spinal fractures as a “disease that should not be treated”. Most of these studies approach a patient with acute spinal cord injury (ASCI) in one of four manners: corrective surgery or a physical, biological, or pharmacological treatment method. Science is unraveling the mechanisms of cell protection and neuroregeneration, but clinically, we only provide supportive care for patients with spinal cord injuries. By combining these treatments, researchers attempt to enhance the functional recovery of patients with spinal cord injuries. Advances in the last decade have allowed us to encourage the development of experimental studies in the field of spinal cord regeneration. The combination of several therapeutic strategies should, at a minimum, allow for partial functional recoveries for these patients, which could improve their quality of life. More studies were done on spinalized animals that indicate that most of these pharmacological agents may act on receptors present in the spinal cord, thus facilitate to produce coordinated locomotor movement, whereas some other drugs used to improve the neuropathological changes caused because of spinal cord injury (SCI), such as spasticity or demyelination, to improve walking.

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Section: Nutritional Supplementationmentioning

confidence: 88%

Section: Therapeutic Possibilitiesmentioning

confidence: 99%

Spinal Cord Injury Prevalence and Treatment Modalities

Ara¹,

Singh²,

Raj³

et al. 2023

Spinal Cord Injury - Current Trends in Acute Management, Function Preservation and Rehabilitation Protocols

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“…Our current practice is to increase traction by 1 kg/hour until reduction of the vertebral dislocation is achieved, or the maximum weight is reached (an initial 5 kg + 2.3 kg per vertebra level up to the level of injury), performing an X-ray each time after weight is added; this is slightly more conservative than the recommendation by Brun et al 19 to add 1 kg each 30 minutes, but we believe this practice allows patients to better adapt to the progressive increase in weight.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Injuries of the Cervical Spine: Current Epidemiological Panorama

et al. 2018

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Objective:To collect data from patients with cervical fracture who were treated surgically in a tertiary health service, in order to better understand the current scenario of this kind of injury in our population. Methods:This retrospective survey examined consecutive cases of patients with cervical spine trauma who received surgical treatment during 2013 and 2014. The data were subjected to descriptive statistical analysis. Results:Fifty-two patients were treated with surgery during 2013 and 2014. All patients classified as Frankel A and B developed respiratory failure. Patients classified as Frankel A, B, and C had significantly higher rates for postoperative complications (p < 0.01) than patients classified as Frankel D and E, except for the rate of postoperative infections (p = 0.717). Hospitalization time was also longer in the first group (p < 0.01). Conclusion:Patients with cervical trauma who present with neurological deficit at hospital admission should receive special attention, since the rate of postoperative complications is higher and hospital stays are lengthier in this group. In addition, patients with Frankel A and B classification should be monitored in an intensive care unit. Level of Evidence III; Retrospective comparative study.

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“…Muitos TRM pediátricos da coluna podem ser tratados com imobilização por sistemas, ou órteses cervicais rígidos ou macios como: Halo vest, colar duro, Minerva, entre outros. (DAMASCENO et al, 2010). O sistema macio não imobiliza; sua função é prioritariamente lembrar o paciente de reduzir seus movimentos.…”

Section: E: Função Normalunclassified