Medical Communication Services after Traumatic Spinal Cord Injury

Abstract

It is difficult to assess and monitor the spinal cord injury (SCI) because of its pathophysiology after injury, with different degrees of prognosis and various treatment methods, including laminectomy, durotomy, and myelotomy. Medical communication services with different factors such as time of surgical intervention, procedure choice, spinal cord perfusion pressure (SCPP), and intraspinal pressure (ISP) contribute a significant role in improving neurological outcomes. This review aims to show the benefits of communication services and factors such as ISP, SCPP, and surgical intervention time in order to achieve positive long-term outcomes after an appropriate treatment method in SCI patients. The SCPP was found between 90 and 100 mmHg for the best outcome, MAP was found between 110 and 130 mmHg, and mean ISP is ≤20 mmHg after injury. Laminectomy alone cannot reduce the pressure between the dura and swollen cord. Durotomy and duroplasty considered as treatment choices after severe traumatic spinal cord injury (TSCI).

[Retracted] Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy

“…High ISP and low SCPP can cause low oxygen saturation of the spinal cord tissue, which requires surgical decompression. Finding a method to examine blood flow at the injury site is essential in every patient to predict the prognosis, ensure no other treatment method is required, and avoid other procedure complications [ 6 ]. The pressure around the spinal cord can lead to a decrease in the blood flow at the injury site that can cause ischemia of the spinal tissue [ 12 ].…”

“…However, this method is based on light transmission in the near-infrared spectrum across tissue and its absorption [ 30 ]. Measuring spinal blood oxygen saturation can help the clinician justify the change in the treatment method to influence potential deficiencies and the requirement of other procedures in every patient [ 6 , 31 ].…”

“…Performing durotomy with duroplasty can reduce the intraspinal pressure (ISP) and decrease the spinal cord compartment syndrome (SCCS), improving spinal cord perfusion pressure (SCPP) and blood perfusion at the injury site [ 4 , 5 ]. However, to perform durotomy and duroplasty, an experienced surgeon is needed because it causes a higher risk of injury such as spinal cord swelling and cerebrospinal fluid leakage [ 6 ]. Confirming blood perfusion after performing laminectomy is essential to avoid durotomy complications and their associated risk factors.…”

Significance of spinal cord perfusion pressure following spinal cord injury: A systematic scoping review

“…The full data extraction table for all 73 included articles is provided on the Open Science Framework. These articles consisted 34 original research articles, 6 , 8 , 9 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 13 conference abstracts, 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 13 literature reviews, 24 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 4 systematic reviews, 5 , 13 , 14 , 15 4 letters to the editor, 76 , 77 , ...…”

Retracted: Medical Communication Services after Traumatic Spinal Cord Injury

“…This article has been retracted by Hindawi following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of one or more of the following indicators of systematic manipulation of the publication process: Discrepancies in scope Discrepancies in the description of the research reported Discrepancies between the availability of data and the research described Inappropriate citations Incoherent, meaningless and/or irrelevant content included in the article Peer-review manipulation …”