Deterioration following spinal cord injury. A multicenter study.

@article{Marshall1987DeteriorationFS,
  title={Deterioration following spinal cord injury. A multicenter study.},
  author={Lawrence F. Marshall and Sharen Knowlton and Steven Robert Garfin and Melville R. Klauber and Howard M. Eisenberg and Dennis R. Kopaniky and Michael E. Miner and K Tabbador and Guy L. Clifton},
  journal={Journal of neurosurgery},
  year={1987},
  volume={66 3},
  pages={
          400-4
        }
}
The results are presented of a prospective study of the course of 283 spinal cord-injured patients who were consecutively admitted to five trauma centers participating in the Comprehensive Central Nervous System Injury Centers' program of the National Institutes of Health. Of the 283 patients, 14 deteriorated neurologically during acute hospital management. In 12 of the 14, the decline in neurological function could be associated with a specific management event, and in nine of these 12 the… 
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Acute management of spinal cord injury.
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The Third National Acute Spinal Cord Injury Study investigators concluded that methylprednisolone improves neurologic recovery after acute spinal cord injury and recommended that patients who receive methylpredisonsolone within 3 hours of injury should be maintained on the treatment regimen for 24 hours.
Current use and timing of spinal surgery for management of acute spinal cord injury in North America: results of a retrospective multicenter study
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A multicenter retrospective study to examine the use and timing of surgery in patients who have sustained acute spinal cord injury (SCI) and found that early and late decompressive surgery are compared.
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Out of 1410 patients admitted to the spinal cord injury unit (SARAH) for rehabilitation during a 10-year period (1981-90) 10 had a missed spinal trauma lesion and became paralysed after having…
Timing of thoracolomber spine stabilization in trauma patients; impact on neurological outcome and clinical course. A real prospective (rct) randomized controlled study
TLDR
Early surgery may improve neurological recovery and decrease hospitalization time and also additional systemic complications in patients with thoracolomber spinal cord injuries, and early stabilization ofThoracolumbar spine fractures within 8 h after trauma appears to be favorable.
Early versus delayed surgery for acute cervical spinal cord injury.
TLDR
It is indicated that patients who sustain acute traumatic injuries of the cervical spine with associated neurologic deficit may benefit from surgical decompression and stabilization within 72 hours of injury.
The acute and chronic management of spinal cord injury.
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Patients with complete SCI should be managed non-operatively with a provision of surgery only if their rehabilitation is impeded due to pain or deformity, essentially from a developing country's point of view.
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