New Guidelines for Managing Thoracolumbar Spine Trauma

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Source: 
O'Toole, J. E., Kaiser, M. G., Anderson, P. A., Arnold, P. M., Chi, J. H., Dailey, A. T., et al. (2019). Congress of Neurologica

Thoracolumbar spine trauma is a common condition, and critical to have a solid understanding of the quality of the literature to make evidence-based management decisions.  The newly released “Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma” was developed by systematically reviewing clinically relevant subjects and providing graded recommendations for management.

 

Clinical subjects included in these guidelines:

  1. Classification of Injury
  2. Radiological Evaluation
  3. Neurological Assessment
  4. Pharmacological Treatment
  5. Hemodynamic Management
  6. Prophylaxis and Treatment of Thromboembolic Events
  7. Non-operative Care
  8. Operative vs. Non-operative Treatment
  9. Timing of Surgical Intervention
  10. Surgical Approaches
  11. Novel Surgical Strategies

 

Some topics do not have sufficient data to provide a recommendation.  However, these deficiencies are useful in guiding future clinical research.  The effort involved in compiling, vetting and writing these guidelines is immense. It is worth your time to read them.

Nathaniel P. Brooks, MD
Madison, WI

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