Integrated Spine Trauma Team Protocol: Combined Neurosurgical and Orthopedic Experience for the Management of Traumatic Spinal Injuries

Overview

Journal J Neurosci Rural Pract

Specialty Neurology

Date 2023 Sep 11

PMID 37692798

Authors

Pietro Domenico Giorgi

Fabio Giuseppe Villa

Marco Cenzato

Dario Capitani

DAliberti Giuseppe Antonio

Simona Legrenzi

Francesco Puglia

Marco Picano

Davide Boeris

Alberto Debernardi

Giuseppe Rosario Schiro

Affiliations

Soon will be listed here.

Abstract

Objectives: During the last decades, spine surgery has grown exponentially. In spite of that, it remains a surgical specialty without a well-defined own certification. It is usually carried out, separately, by neurosurgeons and orthopedic surgeons, even if there is an overlapping of competence and skills.

Materials And Methods: In our hospital, from January 2019, a systematic protocol called integrated spine trauma team protocol (ISTTP) was implemented to improve the management of traumatic spinal injuries in a multidisciplinary way. It is characterized by a specific algorithm from diagnosis to postoperative care. According to the new protocol, orthopedic spinal surgeons and neurosurgeons work together as an integrated spine trauma team. The authors analyzed, retrospectively, the results obtained by comparing patients treated before and after the application of the ISTTP.

Results: The new protocol allowed a statistically significant reduction in waiting time before surgery and complication rate. Moreover, early discharge of patients was recorded. To the best of our knowledge, this is the first study that described a specific algorithm for a standardized multidisciplinary management of the spinal trauma with combined orthopedic and neurosurgeon expertise.

Conclusion: Our preliminary results suggest that the application of our ISTTP leads to better results for treating traumatic spinal injury (TSI).

Citing Articles

Investigating Factors Affecting Mortality Due to Spinal Cord Trauma in Patients Admitted to the Intensive Care Unit.

Mohammadi H, Erfani A, Sadeghi S, Komlakh K, Otaghi M, Vasig A Bull Emerg Trauma. 2024; 12(3):136-141.

PMID: 39391363 PMC: 11462108. DOI: 10.30476/beat.2024.103079.1517.

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