Long-term follow-up of six patients with acute spinal injury following dural decompression
We report six cases of spinal injury in which there was bony encroachment on the spinal cord. At the time of decompression the dura was noted to be tense and non-pulsatile. This method of anterior decompression of burst fractures of the spine suggests that bony decompression of the spinal canal asso...
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| Veröffentlicht in: | Injury 1988-11, Vol.19 (6), p.397-401 |
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| creator | Perkins, P.G. Deane, R.H. |
| description | We report six cases of spinal injury in which there was bony encroachment on the spinal cord. At the time of decompression the dura was noted to be tense and non-pulsatile. This method of anterior decompression of burst fractures of the spine suggests that bony decompression of the spinal canal associated with durotomy released the spinal epidural veins which had become congested and had inhibited the free flow of CSF, and we believe also had decreased arteriolar inflow to the cord. Full neurological recovery occurred in three of the six neurologically impaired patients and partial recovery in the remaining three. We believe that a dural decompression may be of some use in preventing a ‘compartment syndrome’ of the spinal cord. Further animal studies are recommended before the procedure is used routinely. |
| doi_str_mv | 10.1016/0020-1383(88)90132-5 |
| format | Article |
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At the time of decompression the dura was noted to be tense and non-pulsatile. This method of anterior decompression of burst fractures of the spine suggests that bony decompression of the spinal canal associated with durotomy released the spinal epidural veins which had become congested and had inhibited the free flow of CSF, and we believe also had decreased arteriolar inflow to the cord. Full neurological recovery occurred in three of the six neurologically impaired patients and partial recovery in the remaining three. We believe that a dural decompression may be of some use in preventing a ‘compartment syndrome’ of the spinal cord. Further animal studies are recommended before the procedure is used routinely.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/0020-1383(88)90132-5</identifier><identifier>PMID: 3267644</identifier><identifier>CODEN: INJUBF</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Acute Disease ; Biological and medical sciences ; Dura Mater - surgery ; Follow-Up Studies ; Humans ; Injuries of the limb. Injuries of the spine ; Medical sciences ; Methods ; Radiography ; Regional Blood Flow ; Spinal Cord - blood supply ; Spinal Injuries - diagnostic imaging ; Spinal Injuries - physiopathology ; Spinal Injuries - surgery ; Time Factors ; Traumas. 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At the time of decompression the dura was noted to be tense and non-pulsatile. This method of anterior decompression of burst fractures of the spine suggests that bony decompression of the spinal canal associated with durotomy released the spinal epidural veins which had become congested and had inhibited the free flow of CSF, and we believe also had decreased arteriolar inflow to the cord. Full neurological recovery occurred in three of the six neurologically impaired patients and partial recovery in the remaining three. We believe that a dural decompression may be of some use in preventing a ‘compartment syndrome’ of the spinal cord. Further animal studies are recommended before the procedure is used routinely.</description><subject>Acute Disease</subject><subject>Biological and medical sciences</subject><subject>Dura Mater - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Radiography</subject><subject>Regional Blood Flow</subject><subject>Spinal Cord - blood supply</subject><subject>Spinal Injuries - diagnostic imaging</subject><subject>Spinal Injuries - physiopathology</subject><subject>Spinal Injuries - surgery</subject><subject>Time Factors</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Radiography</topic><topic>Regional Blood Flow</topic><topic>Spinal Cord - blood supply</topic><topic>Spinal Injuries - diagnostic imaging</topic><topic>Spinal Injuries - physiopathology</topic><topic>Spinal Injuries - surgery</topic><topic>Time Factors</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perkins, P.G.</creatorcontrib><creatorcontrib>Deane, R.H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perkins, P.G.</au><au>Deane, R.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term follow-up of six patients with acute spinal injury following dural decompression</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>1988-11</date><risdate>1988</risdate><volume>19</volume><issue>6</issue><spage>397</spage><epage>401</epage><pages>397-401</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>We report six cases of spinal injury in which there was bony encroachment on the spinal cord. At the time of decompression the dura was noted to be tense and non-pulsatile. This method of anterior decompression of burst fractures of the spine suggests that bony decompression of the spinal canal associated with durotomy released the spinal epidural veins which had become congested and had inhibited the free flow of CSF, and we believe also had decreased arteriolar inflow to the cord. Full neurological recovery occurred in three of the six neurologically impaired patients and partial recovery in the remaining three. We believe that a dural decompression may be of some use in preventing a ‘compartment syndrome’ of the spinal cord. Further animal studies are recommended before the procedure is used routinely.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>3267644</pmid><doi>10.1016/0020-1383(88)90132-5</doi><tpages>5</tpages></addata></record> |
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| ispartof | Injury, 1988-11, Vol.19 (6), p.397-401 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Acute Disease Biological and medical sciences Dura Mater - surgery Follow-Up Studies Humans Injuries of the limb. Injuries of the spine Medical sciences Methods Radiography Regional Blood Flow Spinal Cord - blood supply Spinal Injuries - diagnostic imaging Spinal Injuries - physiopathology Spinal Injuries - surgery Time Factors Traumas. Diseases due to physical agents |
| title | Long-term follow-up of six patients with acute spinal injury following dural decompression |
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