Publications by authors named "Philip Charles De Witt Hamer"
The impact of surgical timing in neurological recovery in thoracic and thoracolumbar traumatic spinal cord injury (tSCI) is still a subject of discussion. While in cervical tSCI one may expect a beneficial effect of early intervention within 24 h, especially in complete cases, this has not yet been demonstrated clearly for thoracic tSCI. This study addresses neurological improvement after early and late surgery for thoracic and thoracolumbar tSCI.
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- This study investigates the timing of surgical decompression in patients with traumatic spinal cord injury (tSCI) and its effects on neurological recovery, comparing early surgery (within 24 hours) to late surgery (beyond 24 hours).
- The analysis included 15 observational studies with 1,126 patients, focusing on outcomes measured by the American Spinal Injury Association (ASIA) scale, specifically in patients with complete and incomplete cervical tSCI.
- Results showed that early surgery significantly improved outcomes for those with complete cervical tSCI, while the timing of surgery made little difference for patients with incomplete cervical tSCI.