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)

Picetti, E; Demetriades, Ak; Catena, F; Aarabi, B; Abu-Zidan, Fm; Alves, Ol; Ansaloni, L; Armonda, Ra; Badenes, R; Bala, M; Balogh, Zj; Barbanera, A; Bertuccio, A; Biffl, Wl; Bouzat, P; Buki, A; Castano-Leon, Am; Cerasti, D; Citerio, G; Coccolini, F; Coimbra, R; Coniglio, C; Costa, F; De Iure, F; Depreitere, B; Fainardi, E; Fehlings, Mj; Gabrovsky, N; Godoy, Da; Gruen, P; Gupta, D; Gwj, Hawryluk; Helbok, R; Hossain, I; Hutchinson, Pj; Iaccarino, C; Inaba, K; Ivanov, M; Kaprovoy, S; Kirkpatrick, Aw; Klein, S; Kolias, A; Konovalov, Na; Lagares, A; Lippa, L; Loza-Gomez, A; Luoto, Tm; Air, Maas; Maciejczak, A; Maier, Rv; Marklund, N; Martin, Mj; Melloni, I; Mendoza-Lattes, S; Meyfroidt, G; Munari, M; Napolitano, Lm; Okonkwo, Do; Otomo, Y; Papadopoulos, Mc; Petr, O; Peul, Wc; Pudkrong, Ak; Qasim, Z; Rasulo, F; Reizinho, C; Ringel, F; Rizoli, S; Rostami, E; Rubiano, Am; Russo, E; Sarwal, A; Schwab, Jm; Servadei, F; Sharma, D; Sharif, S; Shiban, E; Shutter, L; Stahel, Pf; Taccone, Fs; Terpolilli, Na; Thomé, C; Toth, P; Tsitsopoulos, Pp; Udy, A; Vaccaro, Ar; Varon, Aj; Vavilala, Ms; Younsi, A; Zackova, M; Zoerle, T; Robba, C

doi:10.1186/s13017-023-00525-4

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.

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) / Picetti E, Demetriades AK, Catena F, Aarabi B, Abu-Zidan FM, Alves OL, Ansaloni L, Armonda RA, Badenes R, Bala M, Balogh ZJ, Barbanera A, Bertuccio A, Biffl WL, Bouzat P, Buki A, Castano-Leon AM, Cerasti D, Citerio G, Coccolini F, Coimbra R, Coniglio C, Costa F, De Iure F, Depreitere B, Fainardi E, Fehlings MJ, Gabrovsky N, Godoy DA, Gruen P, Gupta D, Hawryluk GWJ, Helbok R, Hossain I, Hutchinson PJ, Iaccarino C, Inaba K, Ivanov M, Kaprovoy S, Kirkpatrick AW, Klein S, Kolias A, Konovalov NA, Lagares A, Lippa L, Loza-Gomez A, Luoto TM, Maas AIR, Maciejczak A, Maier RV, Marklund N, Martin MJ, Melloni I, Mendoza-Lattes S, Meyfroidt G, Munari M, Napolitano LM, Okonkwo DO, Otomo Y, Papadopoulos MC, Petr O, Peul WC, Pudkrong AK, Qasim Z, Rasulo F, Reizinho C, Ringel F, Rizoli S, Rostami E, Rubiano AM, Russo E, Sarwal A, Schwab JM, Servadei F, Sharma D, Sharif S, Shiban E, Shutter L, Stahel PF, Taccone FS, Terpolilli NA, Thomé C, Toth P, Tsitsopoulos PP, Udy A, Vaccaro AR, Varon AJ, Vavilala MS, Younsi A, Zackova M, Zoerle T, Robba C. - In: WORLD JOURNAL OF EMERGENCY SURGERY. - ISSN 1749-7922. - ELETTRONICO. - (2024), pp. 4-13. [10.1186/s13017-023-00525-4]