Beliefs relating to recurrence of heterotopic ossification following excision in patients with spinal cord injury: a review
Autor: | François Genêt, Waleed Almangour, A. Ruet, P Denormandie, Alexis Schnitzler, L. Gatin |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
Time Factors business.industry Ossification Ossification Heterotopic General Medicine medicine.disease Databases Bibliographic Neurosurgical Procedures Surgery Postoperative Complications Neurology Recurrence Physical therapy Humans Medicine Heterotopic ossification In patient Neurology (clinical) medicine.symptom business Spinal cord injury Spinal Cord Injuries |
Zdroj: | Spinal Cord. 53:340-344 |
ISSN: | 1476-5624 1362-4393 |
Popis: | Review of the literature.It is widely believed that the timing of surgery and the size of the initial Neurological Heterotopic Ossification (NHO) affect the recurrence risk of NHO after SCI. A large number of studies were published in the 80s and the 90s, mostly of poor quality despite the fact that they were carried out by experienced surgical teams. The aim of this study was to suggest recommendations relating to the timing of excision of heterotopic ossification after SCI following the analysis of a recent review of the literature.France.A systematic literature search was performed in the PubMed Embase from January 2002 until June 2014 using the MESH headings 'spinal cord injury', 'paraplegia', 'heterotopic ossification' and 'surgery'. Results were compared with results from epidemiological studies based on the BANKHO database (patients who underwent surgery for troublesome HO after central neurological system (CNS) lesions in our center (357 patients, 539 surgeries)).Few studies were found in the literature, results were sometimes contradictory and practices heterogeneous. Results from the BANKHO database showed that troublesome recurrence of NHO was not associated with 'early' surgery (before 6 months), and no association was found between recurrence and the size of the NHO around the joint (Brooker status).We suggest that surgical excision of the NHO should be carried out when it begins to be troublesome, as soon as comorbid factors are under control and the HO is sufficiently constituted for excision. |
Databáze: | OpenAIRE |
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