Wagih El Masri

Keele University, UK

Title: Traumatic Spinal Cord Injuries: Influence of Management on Predictable Spontaneous Neurological Recovery

Abstract

The incidence of Traumatic spinal cord injuries (TSCI) is small. The impact of the life-changing consequences of the medical, physical, psychological, social, financial, vocational, environmental & matrimonial is however devastating to the patient, family members and all those close to the patient. The combination of a small incidence and a generalised dynamic, unstable and often erratic physiological impairment that results in a multi-system malfunction with similar characteristics; the multiple disabilities, wide range of potential complications, sensory impairment/loss together with the non-medical effects of cord damage invariably impose significant challenges to patients and clinicians in the short, medium and long term. Early prediction of neurological recovery and particularly ambulation is initially the main concern of the patient and family members. Neurological recovery and recovery of ambulation is not uncommon are generally predictable following traumatic spinal cord damage provided no further mechanical and/or non-mechanical damage is inflicted on the injured and physiologically unstable spinal cord. Unlike the intact spinal cord the injured cord is also physiologically unstable and vulnerable to complications that develop because of poor management of the Biomechanical Instability and /or the development of preventable systemic complications. The positive and negative prognostic indicators of neurological recovery, its extent and the factors that enhance, prevent, delay recovery or cause neurological deterioration in patients with complete and incomplete cord damage will be discussed. I will demonstrate that the radiological manifestations of the injury on presentation do not determine the degree of cord damage and will discuss the implications on the local and systemic management of the injured spine and spinal cord with various interventions. I will demonstrate that the management of the multi-system physiological impairment and malfunction is as important as the management of the injured spine if optimum neurological recovery is to be expected.

Biography

Wagih El Masri Hon. Clinical Professor of Spinal Injuries (SI), Keele University & Emeritus Consultant Surgeon In Spinal Injuries at The Robert Jones & Agnes Hunt Orthopaedic (RJAH)Hospital Oswesty UK. Wagih El Masri trained between 1971 & 1983 in the Oxford group of hospitals, Guys Hosp. London, Stoke Mandeville hospital and the USA. He obtained the first accreditation in the fields of Spinal Injuries and Allied Surgical Specialities in 1982. Appointed Consultant Surgeon in Spinal Injuries at the Midland Centre for Spinal Injuries, the RJAH Orthopaedic Hospital in 1983. He personally treated 10,000 patients with Acute Traumatic Spinal Cord Injuries and took full responsibility for the lifelong monitoring and care of 3000 of these patients. He published over 145 manuscripts.

2nd International Conference on Neuroscience and Neurology

Wagih El Masri

Title: Traumatic Spinal Cord Injuries: Influence of Management on Predictable Spontaneous Neurological Recovery

Abstract

Biography

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