Injury. 2004 Jul;35(7):661-70.

Damage control surgery for spine trauma.

Kossmann T, Trease L, Freedman I, Malham G.

Source

Department of Trauma Surgery, The Alfred Hospital/Monash University, Commercial Road, Melbourne, Vic. 3004, Australia. t.kossmann@alfred.org.au

Abstract

The concept of "damage control" surgery was originally developed for massive abdominal trauma and also successfully applied to the management of lone bone injuries. More recently this has been extended to severely injured patients with spine injuries. This paper provided an overview of how damage control principles can be applied to multitrauma patients with spine injuries, to patients with isolated spine injuries and to spine injuries with and without neurology. The role of neuroimaging in acute spine trauma and controversies in the pharmaceutical approach to spine injuries are discussed. Additional prospective controlled trials are required to delineate the role and timing of damage control surgery in acute spine injury. With improved neuroimaging early spinal damage control surgery will be formally established in the management of spine trauma.

PMID:: 15203306; [PubMed - indexed for MEDLINE]

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Cited by 3 PubMed Central articles

Role of early minimal-invasive spine fixation in acute thoracic and lumbar spine trauma. [Indian J Orthop. 2007]
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Stahel PF, Flierl MA, Moore EE, Smith WR, Beauchamp KM, Dwyer A. J Trauma Manag Outcomes. 2009 May 11; 3:6. Epub 2009 May 11.
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