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).

Edoardo Picetti, Andreas K Demetriades, Fausto Catena, Bizhan Aarabi, Fikri M Abu-Zidan, Oscar L Alves, Luca Ansaloni, Rocco A Armonda, Rafael Badenes, Miklosh Bala, Zsolt J Balogh, Andrea Barbanera, Alessandro Bertuccio, Walter L Biffl, Pierre Bouzat, Andras Buki, Ana Maria Castano-Leon, Davide Cerasti, Giuseppe Citerio, Federico Coccolini, Raul Coimbra, Carlo Coniglio, Francesco Costa, Federico De Iure, Bart Depreitere, Enrico Fainardi, Michael J Fehlings, Nikolay Gabrovsky, Daniel Agustin Godoy, Peter Gruen, Deepak Gupta, Gregory W J Hawryluk, Raimund Helbok, Iftakher Hossain, Peter J Hutchinson, Corrado Iaccarino, Kenji Inaba, Marcel Ivanov, Stanislav Kaprovoy, Andrew W Kirkpatrick, Sam Klein, Angelos Kolias, Nikolay A Konovalov, Alfonso Lagares, Laura Lippa, Angelica Loza-Gomez, Teemu M Luoto, Andrew I R Maas, Andrzej Maciejczak, Ronald V Maier, Niklas Marklund, Matthew J Martin, Ilaria Melloni, Sergio Mendoza-Lattes, Geert Meyfroidt, Marina Munari, Lena M Napolitano, David O Okonkwo, Yasuhiro Otomo, Marios C Papadopoulos, Ondra Petr, Wilco C Peul, Aichholz K Pudkrong, Zaffer Qasim, Frank Rasulo, Carla Reizinho, Florian Ringel, Sandro Rizoli, Elham Rostami, Andres M Rubiano, Emanuele Russo, Aarti Sarwal, Jan M Schwab, Franco Servadei, Deepak Sharma, Salman Sharif, Ehab Shiban, Lori Shutter, Philip F Stahel, Fabio S Taccone, Nicole A Terpolilli, Claudius Thomé, Peter Toth, Parmenion P Tsitsopoulos, Andrew Udy, Alexander R Vaccaro, Albert J Varon, Monica S Vavilala, Alexander Younsi, Monika Zackova, Tommaso Zoerle, Chiara Robba

World Journal of Emergency Surgery : WJES 2024 January 19

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.

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