Spinal fixation surgery for acute traumatic spinal cord injury

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There is insufficient evidence to assess the benefits and harms associated with spinal fixation surgery in patients with traumatic spinal cord injuries.  Some evidence suggests spinal fixation surgery might be helpful in promoting recovery and mobilisation following traumatic spinal cord injury.

Spinal fixation surgery is aimed at preventing re-injury by ensuring the spinal cord is fixed in a vertical position. If the spine is unstable following traumatic spinal cord injury (SCI), surgical fusion and bracing may be necessary to obtain vertical stability and prevent re-injury of the spinal cord from repeated movement of the unstable bony elements. This review assessed the differences in functional outcome and other commonly measured outcomes between people who have a spinal cord injury and have had spinal fixation surgery and those who have not.

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