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Early Versus Late Spine Surgery in Severely Injured Patients—Which Is the Appropriate Timing for Surgery? by Arnaldo Sousa; Cláudia Rodrigues; Luís Barros; Pedro Serrano; Ricardo Rodrigues-Pinto is a Medicine article available to read on EtoBox.

What is Early Versus Late Spine Surgery in Severely Injured Patients—Which Is the Appropriate Timing for Surgery? about?

## Study Design: Retrospective cohort study conducted at tertiary spinal trauma referral center. ## Objective: We aimed to determine if early definitive management of spine fractures in patients admitted to the Intensive Care Unit (ICU) shortens the intubation time and the length of stay (LOS), without increasing mortality. ## Methods: The medical records of all patients admitted to the ICU and submitted to surgical stabilization of spine fractures were reviewed over a 10-year period. Time to surgery, number of fractured vertebrae, degree of neurological injury, Simplified Acute Physiology Score (SAPS II), ASA score and associated trauma were evaluated. Surgeries performed on the first 72 hours after trauma were defined as “early surgeries.” Intubation time, LOS on ICU, overall LOS and mortality rate were compared between patients operated early and late. ## Results: Fifty patients were included, 21 with cervical fractures, 23 thoracic and 6 lumbar. Baseline characteristics did not differ between patients in both groups. Patients with early surgical stabilization had significantly shorter intubation time, ICU-LOS and overall LOS, with no differences in terms of mortality rate. Afte

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Author

Arnaldo Sousa; Cláudia Rodrigues; Luís Barros; Pedro Serrano; Ricardo Rodrigues-Pinto

Publisher

SAGE Publications

Published

2021

Language

EN

Field

Medicine (Health Sciences)