Methylprednisolone for acute spinal cord injury

Methylprednisolone for acute spinal cord injury: an inappropriate standard of care J Neurosurg:Spine 2000 Jul;93(1 Suppl):1-7

Hurlbert RJ.

University of Calgary Spine Program, Foothills Hospital and Medical Centre, Alberta, Canada. jhurlber@ucalgary.ca

OBJECT: Since publication in 1990, results from the National Acute Spinal Cord Injury Study II (NASCIS II) trial have changed the way patients suffering an acute spinal cord injury (SCI) are treated. More recently, recommendations from NASCIS III are being adopted by institutions around the world. The purpose of this paper is to reevaluate carefully the results and conclusions of these studies to determine the role they should play in influencing decisions about care of the acutely spinal cord-injured patient.

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A Population-Based Study of Reoperations After Back Surgery

Richard W. Hu*, MD, FRCS(C); Susan Jaglal*, PhD; Tami Axcell†, MSc; Geoffrey Anderson†, MD, PhD

From *the Musculoskeletal Health Status Working Group, Division of Orthopaedics, and †the Institute for Clinical Evaluative Sciences, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

SPINE 1997;22:2265-2270

Study Design. Longitudinal follow-up study of back surgery reoperations using an administrative database.

Objectives. To identify population-based rates and factors that determine the need for reoperation after back surgery.

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