Abstract
Caring for a patient with a spinal cord injury (SCI) presents unique challenges in the perioperative period. Chronic complications of SCI and dysfunction often result in need for urologic, orthopedic, and plastic surgical interventions. Moreover, atypical presentations of acute conditions below the level of lesion may lead to need for urgent or emergency surgery requiring perioperative management (Petsas et al., BJA Education, 2015). In addition, SCI causes changes in physiology that can predispose to perioperative complications. In addition, the increasing percentage of SCI in the elderly (age over 60) has resulted in a population of SCI patients with several preexisting comorbid major medical conditions that require management in the perioperative period.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Jain NB, et al. Traumatic spinal cord injury in the United States, 1993–2012. JAMA. 2015;313:2236.
Devivo M. Epidemiology of traumatic spinal cord injury: trends and future implications. Spinal Cord. 2012;50:365.
McDonald JW. Spinal cord injury, seminar. Lancet. 2002;359(9304):417–25.
Petsas A, et al. Perioperative management of patients with a chronic spinal cord injury. BJA Education. 2015;15(3):123–30.
Myers J, et al. Cardiovascular disease in spinal cord injury: an overview of prevalence, risk, evaluation, and management. Am J Phys Med Rehabil. 2007;86:142.
Bauman WA, et al. Cardiac stress testing with thallium-201 imaging reveals silent ischemia in individuals with paraplegia. Arch Phys Med Rehabil. 1994;75:946–50.
Karlsson AK. Autonomic dysreflexia. Spinal Cord. 1999;37:383.
Bycroft J, et al. Autonomic dysreflexia: a medical emergency. Postgrad Med J. 2005;81:232.
Schilero GJ, et al. Assessment of airway caliber and bronchodilator responsiveness in subjects with spinal cord injury. Chest. 2005;127:149.
Hadjipavlou G, et al. Spinal cord injury and pain. BJA Education. 2016;16:264–8.
Brown R, et al. Respiratory dysfunction and management in spinal cord injury. Respir Care. 2006;51:853–68.
Krassioukov A, et al. Neurogenic bowel management after spinal cord injury: a systematic review of the evidence. Spinal Cord. 2010;48:718.
Acknowledgments
Margaret Jones MD MPH, Acting Assistant Professor, Rehabilitation Medicine, Harborview Medical Center, University of Washington.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Arora, P. (2020). Spinal Cord Injury. In: Jackson, M., Huang, R., Kaplan, E., Mookherjee, S. (eds) The Perioperative Medicine Consult Handbook. Springer, Cham. https://doi.org/10.1007/978-3-030-19704-9_31
Download citation
DOI: https://doi.org/10.1007/978-3-030-19704-9_31
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-19703-2
Online ISBN: 978-3-030-19704-9
eBook Packages: MedicineMedicine (R0)