World Journal of Emergency Surgery (Jan 2024)
Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)
- Edoardo Picetti,
- Andreas K. Demetriades,
- Fausto Catena,
- Bizhan Aarabi,
- Fikri M. Abu-Zidan,
- Oscar L. Alves,
- Luca Ansaloni,
- Rocco A. Armonda,
- Rafael Badenes,
- Miklosh Bala,
- Zsolt J. Balogh,
- Andrea Barbanera,
- Alessandro Bertuccio,
- Walter L. Biffl,
- Pierre Bouzat,
- Andras Buki,
- Ana Maria Castano-Leon,
- Davide Cerasti,
- Giuseppe Citerio,
- Federico Coccolini,
- Raul Coimbra,
- Carlo Coniglio,
- Francesco Costa,
- Federico De Iure,
- Bart Depreitere,
- Enrico Fainardi,
- Michael J. Fehlings,
- Nikolay Gabrovsky,
- Daniel Agustin Godoy,
- Peter Gruen,
- Deepak Gupta,
- Gregory W. J. Hawryluk,
- Raimund Helbok,
- Iftakher Hossain,
- Peter J. Hutchinson,
- Corrado Iaccarino,
- Kenji Inaba,
- Marcel Ivanov,
- Stanislav Kaprovoy,
- Andrew W. Kirkpatrick,
- Sam Klein,
- Angelos Kolias,
- Nikolay A. Konovalov,
- Alfonso Lagares,
- Laura Lippa,
- Angelica Loza-Gomez,
- Teemu M. Luoto,
- Andrew I. R. Maas,
- Andrzej Maciejczak,
- Ronald V. Maier,
- Niklas Marklund,
- Matthew J. Martin,
- Ilaria Melloni,
- Sergio Mendoza-Lattes,
- Geert Meyfroidt,
- Marina Munari,
- Lena M. Napolitano,
- David O. Okonkwo,
- Yasuhiro Otomo,
- Marios C. Papadopoulos,
- Ondra Petr,
- Wilco C. Peul,
- Aichholz K. Pudkrong,
- Zaffer Qasim,
- Frank Rasulo,
- Carla Reizinho,
- Florian Ringel,
- Sandro Rizoli,
- Elham Rostami,
- Andres M. Rubiano,
- Emanuele Russo,
- Aarti Sarwal,
- Jan M. Schwab,
- Franco Servadei,
- Deepak Sharma,
- Salman Sharif,
- Ehab Shiban,
- Lori Shutter,
- Philip F. Stahel,
- Fabio S. Taccone,
- Nicole A. Terpolilli,
- Claudius Thomé,
- Peter Toth,
- Parmenion P. Tsitsopoulos,
- Andrew Udy,
- Alexander R. Vaccaro,
- Albert J. Varon,
- Monica S. Vavilala,
- Alexander Younsi,
- Monika Zackova,
- Tommaso Zoerle,
- Chiara Robba
Affiliations
- Edoardo Picetti
- Department of Anesthesia and Intensive Care, Parma University Hospital
- Andreas K. Demetriades
- Department of Neurosurgery, Royal Infirmary Edinburgh
- Fausto Catena
- Emergency and Trauma Surgery, Bufalini Hospital
- Bizhan Aarabi
- Department of Neurosurgery, University of Maryland
- Fikri M. Abu-Zidan
- The Research Office, College of Medicine and Health Sciences, United Arab Emirates University
- Oscar L. Alves
- Hospital Lusíadas Porto, Centro Hospitalar de Gaia/Espinho
- Luca Ansaloni
- Department of Surgery, Pavia University Hospital
- Rocco A. Armonda
- Department of Neurosurgery, Georgetown University School of Medicine and MedStar Washington Hospital Center
- Rafael Badenes
- Department of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clínic Universitari de Valencia, University of Valencia
- Miklosh Bala
- Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem
- Zsolt J. Balogh
- Department of Traumatology, John Hunter Hospital, Hunter Medical Research Institute and University of Newcastle
- Andrea Barbanera
- Department of Neurosurgery, SS Antonio e Biagio e Cesare Arrigo Alessandria Hospital
- Alessandro Bertuccio
- Division of Trauma/Acute Care Surgery, Scripps Clinic Medical Group
- Walter L. Biffl
- Division of Trauma/Acute Care Surgery, Scripps Clinic Medical Group
- Pierre Bouzat
- Universite Grenoble Alpes, CHU Grenoble Alpes
- Andras Buki
- School of Medical Sciences, Örebro University
- Ana Maria Castano-Leon
- Neurosurgery Department, University Hospital “12 de Octubre”
- Davide Cerasti
- Neuroradiology Unit, Parma University Hospital
- Giuseppe Citerio
- School of Medicine and Surgery, University of Milano-Bicocca
- Federico Coccolini
- General, Emergency and Trauma Surgery Department, Pisa University Hospital
- Raul Coimbra
- Division of Trauma and Acute Care Surgery, Riverside University Health System Medical Center
- Carlo Coniglio
- Department of Anesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi
- Francesco Costa
- Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico C. Besta, University of Milan
- Federico De Iure
- Department of Spine Surgery, Ospedale Maggiore Carlo Alberto Pizzardi
- Bart Depreitere
- Department of Neurosurgery, University Hospital KU Leuven
- Enrico Fainardi
- Neuroradiology Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence
- Michael J. Fehlings
- Division of Neurosurgery, Department of Surgery, University of Toronto, Krembil Research Institute, Toronto Western Hospital
- Nikolay Gabrovsky
- Clinic of Neurosurgery, University Hospital Pirogov
- Daniel Agustin Godoy
- Neurointensive Care Unit, Sanatorio Pasteur
- Peter Gruen
- Department of Neurological Surgery, University of Southern California
- Deepak Gupta
- Department of Neurosurgery, Neurosciences Centre and JPN Apex Trauma Centre, All India Institute of Medical Sciences
- Gregory W. J. Hawryluk
- Neurological Institute, Cleveland Clinic, Akron General Hospital
- Raimund Helbok
- Department of Neurology, Johannes Kepler University Linz, Kepler University Hospital
- Iftakher Hossain
- Neurocenter, Department of Neurosurgery, Turku University Hospital
- Peter J. Hutchinson
- Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke’s Hospital, University of Cambridge
- Corrado Iaccarino
- Neurosurgery Unit, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria di Modena
- Kenji Inaba
- Division of Acute Care Surgery, Department of Surgery, University of Southern California
- Marcel Ivanov
- Neurosurgery Department, Royal Hallamshire Hospital
- Stanislav Kaprovoy
- Department of Spinal and Peripheral Nerve Surgery Burdenko Neurosurgical Center
- Andrew W. Kirkpatrick
- Departments of Surgery and Critical Care Medicine, Foothills Medical Centre, University of Calgary
- Sam Klein
- Department of Neurosurgery, Jessa Hospital
- Angelos Kolias
- Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke’s Hospital, University of Cambridge
- Nikolay A. Konovalov
- Department of Spinal and Peripheral Nerve Surgery Burdenko Neurosurgical Center
- Alfonso Lagares
- Neurosurgery Department, University Hospital “12 de Octubre”
- Laura Lippa
- Department of Neurosurgery, Ospedale Niguarda
- Angelica Loza-Gomez
- Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania
- Teemu M. Luoto
- Department of Neurosurgery, Tampere University Hospital and Tampere University
- Andrew I. R. Maas
- Department of Neurosurgery, Antwerp University Hospital
- Andrzej Maciejczak
- Department of Neurosurgery, St Luke Hospital, University of Rzeszow
- Ronald V. Maier
- Department of Surgery, University of Washington
- Niklas Marklund
- Department of Clinical Sciences Lund, Neurosurgery, Lund University
- Matthew J. Martin
- University of Southern California
- Ilaria Melloni
- Division of Neurosurgery, Department of Neurosciences (DINOGMI), IRCCS Ospedale Policlinico San Martino
- Sergio Mendoza-Lattes
- Department of Orthopaedics, Duke University
- Geert Meyfroidt
- Department and Laboratory of Intensive Care Medicine, University Hospitals Leuven and KU Leuven
- Marina Munari
- Neuro-Intensive Care Unit, University Hospital of Padova
- Lena M. Napolitano
- Department of Surgery, University of Michigan Health System
- David O. Okonkwo
- Department of Neurological Surgery, University of Pittsburgh
- Yasuhiro Otomo
- National Disaster Medical Center
- Marios C. Papadopoulos
- Academic Neurosurgery Unit, St. George’s, University of London
- Ondra Petr
- Department of Neurosurgery, Medical University Innsbruck
- Wilco C. Peul
- Leiden University Neurosurgical Centre Holland, HMC-HAGA The Hague & LUMC Leiden
- Aichholz K. Pudkrong
- Department of Anesthesiology and Pain Medicine, University of Washington
- Zaffer Qasim
- Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania
- Frank Rasulo
- Department of Neuroanesthesia and Neurocritical Care, Spedali Civili University Affiliated Hospital of Brescia
- Carla Reizinho
- Departamento de Neurocirurgia, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental
- Florian Ringel
- Department of Neurosurgery, University Hospital Mainz
- Sandro Rizoli
- Trauma Surgery Department, Hamad General Hospital, HMC
- Elham Rostami
- Section of Neurosurgery, Department of Medical Sciences, Uppsala University
- Andres M. Rubiano
- Neurosciences Institute, El Bosque University
- Emanuele Russo
- Anesthesia and Intensive Care Unit, AUSL Romagna, M.Bufalini Hospital
- Aarti Sarwal
- Department of Neurology, Atrium Wake Forest School of Medicine
- Jan M. Schwab
- Belford Center for Spinal Cord Injury and Departments of Neurology and Neuroscience, Wexner Medical Center, The Ohio State University
- Franco Servadei
- Humanitas Research Hospital-IRCCS & Humanitas University
- Deepak Sharma
- Neuroanesthesia & Perioperative Neuroscience, University of Washington
- Salman Sharif
- Department of Neurosurgery, Liaquat National Hospital
- Ehab Shiban
- Department of Neurosurgery, University Hospital Augsburg
- Lori Shutter
- Department of Critical Care Medicine, Neurology and Neurosurgery, University of Pittsburgh School of Medicine
- Philip F. Stahel
- Department of Surgery, Brody School of Medicine, East Carolina University
- Fabio S. Taccone
- Department of Intensive Care, Hopital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB)
- Nicole A. Terpolilli
- Department of Neurosurgery, LMU Hospital, Ludwig-Maximilian-University Munich
- Claudius Thomé
- Department of Neurosurgery, Medical University Innsbruck
- Peter Toth
- Department of Neurosurgery, Medical School, University of Pecs
- Parmenion P. Tsitsopoulos
- Department of Neurosurgery, Hippokration General Hospital, Aristotle University School of Medicine
- Andrew Udy
- Department of Intensive Care and Hyperbaric Medicine, The Alfred
- Alexander R. Vaccaro
- Department of Orthopedic Surgery, Delaware Valley Spinal Cord Injury Center, Rothman Orthopedics, Sidney Kimmel Medical Center of Thomas Jefferson University
- Albert J. Varon
- Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine/Ryder Trauma Center
- Monica S. Vavilala
- Department of Anesthesiology and Pain Medicine, University of Washington
- Alexander Younsi
- Department of Neurosurgery, Heidelberg University Hospital
- Monika Zackova
- Division of Intensive Care and Neurology Unit, Montecatone Rehabilitation Institute
- Tommaso Zoerle
- Department of Pathophysiology and Transplantation, University of Milan, Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico
- Chiara Robba
- IRCCS Policlinico San Martino, Dipartimento di Scienze Chirurgiche Diagnostiche e Integrate, Università di Genova
- DOI
- https://doi.org/10.1186/s13017-023-00525-4
- Journal volume & issue
-
Vol. 19,
no. 1
pp. 1 – 10
Abstract
Abstract Background The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. Methods A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted. Results A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak). Conclusions This consensus provides practical recommendations to support a clinician’s decision making in the management of tSCI polytrauma patients.
Keywords
