Clinical Results Of Patients With Subaxial Cervical Spine Trauma Treated According To The Slic Score

dc.creatorJoaquim A.F.
dc.creatorGhizoni E.
dc.creatorTedeschi H.
dc.creatorDa Cruz H.Y.F.
dc.creatorPatel A.A.
dc.date2014
dc.date2015-06-25T17:51:06Z
dc.date2015-11-26T15:40:28Z
dc.date2015-06-25T17:51:06Z
dc.date2015-11-26T15:40:28Z
dc.date.accessioned2018-03-28T22:48:58Z
dc.date.available2018-03-28T22:48:58Z
dc.identifier
dc.identifierJournal Of Spinal Cord Medicine. Maney Publishing, v. 37, n. 4, p. 420 - 424, 2014.
dc.identifier10790268
dc.identifier10.1179/2045772313Y.0000000143
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84907230133&partnerID=40&md5=13c3be5989dacf20cd4543945917f2d5
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/85983
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/85983
dc.identifier2-s2.0-84907230133
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1264384
dc.descriptionObjective: The Subaxial Injury Classification (SLIC) system has been developed to improve injury classification and guide surgical decision making yet clinical validation remains necessary. Methods: We evaluated the validity and safety of the SLIC system prospectively in patients treated for subaxial cervical spine trauma (SCST) between 2009 and 2012. Patients with four or more points were surgically treated, whereas patients with less than 4 points were conservatively managed. Outcome measures: Neurological status was assessed as the primary outcome of successful treatment. Results: Non-surgical group - Twenty-three patients were treated non-surgically, 14 (61%) of them with some follow-up at our institution. Follow-up ranged from 3 to 5 months (mean of 4.42; median 4). The SLIC score ranged from 0 to 6 points (mean and median of 1). One patient with a SLIC of 6 points refused surgery. Surgical group: Twenty-five patients were operated, but follow-up after hospital discharge was obtained in 23 (92%) patients (range from 1 to 24 months, mean of 5.82 months). The SLIC score in this group ranged from 4 to 9 points (mean and median of 7). No patients had neurological worsening. Eight of 13 patients with incomplete deficits had some improvement in American Spinal Injury Association score. Conclusions: This is the first prospective application of the SLIC system. With regard to our primary outcome, neurological status, the SLIC system was found to be a safe and effective guide in the surgical treatment of SCST.
dc.description37
dc.description4
dc.description420
dc.description424
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dc.languageen
dc.publisherManey Publishing
dc.relationJournal of Spinal Cord Medicine
dc.rightsfechado
dc.sourceScopus
dc.titleClinical Results Of Patients With Subaxial Cervical Spine Trauma Treated According To The Slic Score
dc.typeArtículos de revistas


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