Observational Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2020; 8(20): 4807-4815
Published online Oct 26, 2020. doi: 10.12998/wjcc.v8.i20.4807
Factors related to improved American Spinal Injury Association grade of acute traumatic spinal cord injury
Ci Tian, Yang Lv, Shu Li, Dai-Dai Wang, Yi Bai, Fang Zhou, Qing-Bian Ma
Ci Tian, Shu Li, Dai-Dai Wang, Yi Bai, Qing-Bian Ma, Department of Emergency Medicine, Peking University Third Hospital, Beijing 100191, China
Yang Lv, Fang Zhou, Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China
Author contributions: Tian C designed the research, performed the research and wrote the paper; Ma QB designed the research; Li S reviewed and edited the manuscript; all authors read and approved the manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of Peking University Third Hospital, China (No. M2020232).
Informed consent statement: Patients were not required to give informed consent for this study because the analysis used anonymous clinical data.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at maqingbain@bjmu.edu.cn.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Qing-Bian Ma, MD, Associate Professor, Chairman, Chief Physician, Department of Emergency Medicine, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing 100191, China. maqingbian@bjmu.edu.cn
Received: June 19, 2020
Peer-review started: June 19, 2020
First decision: August 23, 2020
Revised: August 26, 2020
Accepted: September 11, 2020
Article in press: September 11, 2020
Published online: October 26, 2020
Processing time: 129 Days and 8.1 Hours
Core Tip

Core Tip: Our study describes the present treatment of acute traumatic spinal cord injury. This study found that surgery within 72 h resulted in a better prognosis. Patients with American Spinal Injury Association (ASIA) grades A and B had a significantly better prognosis when treated with steroids. The present study demonstrates that patients with severe spinal cord injury (ASIA grades A and B) may benefit from early surgery and steroid administration. These findings have implications for future clinical practice.