Spinal Cord Medicine Principles and Practice PDF
|Author||Diana Cardenas MD MHA and Dr. Robert Waters MD|
|File size||53.14 MB|
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Spinal cord medicine (SCM) is best described as the art and science underlying the diagnosis and treatment of patients with spinal cord injury (SCI) and spinal cord related disorders (SCD). The twentieth century was a landmark era in SCM, highlighted by the development of emergency medical services, the establishment of the specialized spinal cord centers, and advances in antibiotic use, modern therapies, and technology breakthroughs. Many patients with SCI and SCD are now living healthy lives, with life expectancies approaching that of the general population. Despite recent advances in SCM, considerable challenges remain and our patients suffer from multiorgan failures that require long-term and multidisciplinary care; and few residency training programs offer exposure or training in comprehensive SCI care. This book had its origins in the first review course, Spinal Cord Medicine—An Intensive Review given at the annual meetings of the American Paraplegia Society, to prepare physicians to take the subspeciality board in spinal cord medicine. Our goal was to develop a comprehensive text that would cover the breadth and depth of the field of SCM, covering topics from acute medical and surgical management to cutting-edge research, rehabilitation, and psychosocial care. Spinal Cord Medicine consists of 74 chapters in 10 sections. It begins with a review of anatomy and physiology, spinal cord imaging, and epidemiology, and is followed by a comprehensive discussion of acute spinal cord injury management that covers prehospital management, emergency room evaluation and intensive care, and considerations relating to spine surgery. This is followed by sections that cover various aspects of medical management, and the management of bladder, bowel, and sexual dysfunctions. A section on the neurologic aspects of spinal cord care considers topics that include the neurologic assessment of SCI, electrophysiologic evaluation of the spinal tracts, myelopathies, multiple sclerosis, spasticity and pain management, autonomic dysfunction, and concomitant SCI and traumatic brain injury. The musculoskeletal care section addresses overuse injuries, osteoporosis and long bone fractures, and interdisciplinary approaches to upper extremity and pressure ulcer management. The rehabilitation section covers wheelchair and seating assessment, orthotics, activity of daily living training, vocational and driving training, and functional electrical stimulation. This is followed by discussions of recent advances in spinal cord research, including functional magnetic stimulation, spinal cord regeneration and repair strategies, and body weight supported ambulation. Special topics on aging, women’s issues, pediatric care, and SCI prevention are also reviewed. The final section considers psychosocial issues, cost of care, SCI systems of care, and various supportive environments for SCI and SCD care.