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Spinal Cord Injury

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Notes

The Guidelines section will contain 2008 and some 2007 updated published guidelines. To view Guidelines from previous years, view the Guideline sections or the Article sections or our Monthly Online Newsletter (under the Guidelines section).

Spinal Cord Injury

Daily Treatment Report

Cognitive Therapy-CBT-Psychotherapy

 

 

Device Therapy

 

Drug Side-Effects and Interactions

Early complications of high-dose methylprednisolone in acute spinal cord injury patients. (Injury. 2008)

Drugs

Methylprednisolone protects oligodendrocytes but not neurons after spinal cord injury. (J Neurosci. 2008)

[High-dose methylprednisolone in acute spinal injury] (Ugeskr Laeger. 2008)

Exercise

Effects of intense exercise in chronic spinal cord injury. (Spinal Cord. 2008)

General Information

Management of spinal cord injury in general practice - Part 2. (Aust Fam Physician. 2008)

Quick Decompression Aids Spinal Injury Recovery: Done within 24 hours, the procedure improved neurological outcomes a year later “Patients having decompression surgery within 24 hours of a cervical spinal cord injury may have a better outcome than those who have the procedure later, according to new research. Surgical decompression of the spinal cord involves the removal of various tissue or bone fragments that are being squeezed and comprising the spinal cord. While commonly done after an injury occurs, the timing of the procedure varies widely.“

Methylprednisolone for acute spinal cord injury: 5-year practice reversal. (Can J Neurol Sci. 2008) “RESULTS: Forty-two surgeons and twenty-one residents directly involved in the acute management of SCI completed the questionnaire. Seventy-six percent of spinal surgeons do not prescribe MP for SCI in sharp contrast to 76% who prescribed it five years ago. Of the 24% who use steroids, the NASCIS II dosing regimen is most commonly followed. One third of physicians continue to administer MP because of fear of litigation. CONCLUSIONS: Over a five year period there has been a complete reversal in practice patterns of MP administration for SCI, along with an increased familiarity of the published literature. Attendance at meetings, participation in local group discussions, and peer-reviewed publications appear effective in altering practice preferences arising from peer pressure and even fear of litigation.”

Guidelines

 

Immunotherapy

 

Internet Sites

Treatment Information

DrugBank (drug structure)

FDA - MedWatch (Drug Alerts)

Drug-Food-Supplement Information

Drug Information Online

Drug Interaction Checker

DrugDigest (drug interactions)

FDA - Drug Interactions: What You Should Know

NIH - Botanical Dietary Supplements: Background Information

NIH - Drug, Supplements, and Herbal Information

NIH - Herbal Supplements: Consider Safety, Too

NIH - Medicines

NIH - Vitamin and Mineral Supplement Fact Sheets

Nutrition

Dietary restriction started after spinal cord injury improves functional recovery. (Exp Neurol. 2008)

Other

Other Treatments

The use of botulinum toxin for spasticity after spinal cord injury. (Am J Phys Med Rehabil. 2008)

Experimental

Radiotherapy

 

Supplements-Vitamins-CAM

Evaluation of cranberry tablets for the prevention of urinary tract infections in spinal cord injured patients with neurogenic bladder. (Spinal Cord. 2008) “Conclusion:Cranberry extract tablets should be considered for the prevention of UTI in SCI patients with neurogenic bladder. Patients with a high GFR may receive the most benefit.”

Surgery

Transplantation

 

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