| Journal: | Arquivos de neuro-psiquiatria |
| Database: | PERIÓDICA |
| System number: | 000405290 |
| ISSN: | 0004-282X |
| Authors: | Cruz, Halisson Y.F. da1 Joaquim, Andrei F1 Tedeschi, Helder1 Patel, Alpesh A2 |
| Institutions: | 1Universidade Estadual de Campinas, Departamento de Neurologia, Campinas, Sao Paulo. Brasil 2Northwestern University, Department of Orthopedics, Chicago, Illinois. Estados Unidos de América |
| Year: | 2015 |
| Season: | May |
| Volumen: | 73 |
| Number: | 5 |
| Pages: | 445-449 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico |
| English abstract | The SLICS (Sub-axial Cervical Spine Injury Classification System) was proposed to help in the decision-making of sub-axial cervical spine trauma (SCST), even though the literature assessing its safety and efficacy is scarce. Method: We compared a cohort series of patients surgically treated based on surgeon’s preference with patients treated based on the SLICS. Results: From 2009-10, 12 patients were included. The SLICS score ranged from 2 to 9 points (mean of 5.5). Two patients had the SLICS < 4 points. From 2011-13, 28 patients were included. The SLICS score ranged from 4 to 9 points (mean of 6). There was no neurological deterioration in any group. Conclusion: After using the SLICS there was a decrease in the number of patients with less severe injuries that were treated surgically. This suggests that the SLICS can be helpful in differentiating mild from severe injuries, potentially improving the results of treatment |
| Portuguese abstract | O SLICS (Sub-axial Cervical Spine Injury Classification System) foi proposto para auxílio na tomada de decisão no tratamento do traumatismo da coluna cervical sub-axial. Contudo, existem poucos trabalhos que avaliem sua segurança e eficácia. Método: Realizamos estudo comparativo de série histórica de pacientes operados baseados na indicação pessoal do cirurgião com pacientes tratados baseados na aplicação do SLICS. Resultados: Entre 2009-10, 12 pacientes foram incluídos. O SLICS escore variou de 2 a 9 pontos (média de 5,5) com dois pacientes com escore menor que 4. Entre 2011-13, 28 pacientes foram incluídos. O escore de SLICS variou de 4 a 9 pontos, com média de 6. Conclusão: Observamos que após o uso do SLICS houve uma diminuição do número de pacientes operados com lesões mais estáveis. Isso sugere que o SLICS pode ser útil para auxiliar a diferenciação de lesões leves das graves, eventualmente melhorando os resultados do tratamento |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Neurología, Lesiones, Columna cervical, Tratamiento, Médula espinal, Escalas |
| Keyword: | Medicine, Neurology, Surgery, Injuries, Cervical column, Treatment, Spinal cord, Scales |
| Full text: | Texto completo (Ver PDF) |
