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| 1 | 急性脊髓损伤患者治疗的临床操作指南:关于MRI基线在临床治疗决策与结果预测中作用的几点建议(英文)显示文摘The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI.This review focused on longitudinal studies that controlled for baseline neurologic status.A multidisciplinary Guideline Development Group(GDG) used this information,their clinical expertise,and patient input to develop recommendations on the use of MRI for SCI patients.Based on GRADE(Grading of Recommendation,Assessment,Development and Evaluation),a strong recommendation is worded as ' we recommend,' whereas a weaker recommendation is indicated by 'we suggest.' Results Based on the limited available evidence and the clinical expertise of the GDG,our recommendations were:(1) 'We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention,when feasible,to facilitate improved clinical decision-making'(quality of evidence,very low) and(2) 'We suggest that MRI should be performed in adult patients in the acute period following SCI,before or after surgical intervention,to improve prediction of neurologic outcome '(quality of evidence,low).Conclusions These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI. | Fehlings MG Martin AR Tetreault LA Aarabi B Anderson P Arnold PM Brodke D Burns AS Chiba K Dettori JR Furlan JC Hawryluk G Holly LT Howley S Jeji T Kalsi-Ryan S Kotter M Kurpad S Kwon BK Marino RJ Massicotte E Merli G Middleton JW Nakashima H Nagoshi N Palmieri K Singh A Skelly AC Tsai EC Vaccaro A Wilson JR Yee A Harrop JS | 2017 | 中华神经外科疾病研究杂志2017，16，6： | 8 |
| 2 | Autonomic dysreflexia in acute spinal cord injury:an under-recognized clinical entity显示文摘 | Krassioukov A V Furlan J C Fehlings M G | 2003 | J Neurotrauma2003，20，8： | 1 |
| 3 | InternationalEvidence on Financial Derivatives Usage显示文摘 | Bartram S M G W Brown and F Fehle | 2009 | Financial Management Vol 38 No 12009，，： | 1 |
| 4 | The timing of surgical intervention in the treatment of spinal cord injury : a systematic review of recent clinical evidence显示文摘 | Fehlings M G Perrin R G | 2006 | Spine2006，31，11： | 1 |
| 5 | Neuroprotection by minocycline facilitates significant recovery from spinal cord injury显示文摘 | WELLS J HURLBERT J FEHLINGS M | 2003 | Brain2003，126，7： | 1 |
| 6 | Measurement techniques for lower cervical spine injuries显示文摘 | Bono C M Vaccaro A R Fehlings M | 2006 | Spine2006，31，5： | 1 |
| 7 | Botulinum toxin type A injections in the spastic upper extremity of children with hemi- plegia: child characteristics that predict a positive outcome 显示文摘 | Fehlings D Rang M Glazier J | 2001 | Eur J Neurol2001，8，5： | 1 |
| 8 | Review of the secondary injury theo-ry of acute spine cord trauma with emphasis on vascular mech-anisms显示文摘 | Tator C H Fehlings M G | 1991 | J Neurosurg1991，75，1： | 1 |
| 9 | Pharmacological approaches to repair the injured spinal cord 显示文摘 | BAPTISTE D C FEHLINGS M G | 2006 | J Neurotrauma2006，23，34： | 1 |
| 10 | Emerging therapies for acute traumatic spinal cord injury 显示文摘 | Wilson J R Forgione N Fehlings M G | 2013 | Canadian Medical Association Jour- nal2013，185，6： | 1 |
| 11 | FAS deficiency reduces apoptosis,spares axons and improves function after spinal cord injury显示文摘 | Casha S Yu W R Fehlings M G | 2005 | Exp Neurol2005，196，2： | 1 |
| 12 | The surgical approach to subaxial cervical spine injuries:an evidence-based algorithm based on the SLIC Classification system显示文摘 | Dvorak M F Fisher C G Fehlings M G | 2007 | Spine2007，32，1： | 1 |
| 13 | Epidemiology, demographics,andpathophysiolog of acute spinal cord injury显示文摘 | Sekhon H S Fehlings M G | 2001 | Spine2001，26，24： | 1 |
| 14 | Ultra-high-performance concrete: Research, development and application in Europe显示文摘 | Schmidt M Fehling E | 2005 | ACI Spe- cial Publication2005，，： | 1 |
| 15 | Relationship between sleep disturbance and depression, anxiety, and functioning in college students显示文摘 | Nyer M Farabaugh A Fehling K | 2013 | Depress Anxiety2013，30，： | 1 |
| 16 | The challenges of translating stem cells for spinal cord injury and related disorders:what are the barriers and opportunities显示文摘 | Hewson SM Fehlings LN Messih M | 2013 | Expert Rev Neurother2013，13，2： | 1 |
| 17 | An evaluation of botulinum-A toxin injections to improve upper extremity function in children with hemiplegic cerebral palsy显示文摘 | Fehlings D Rang M Glazier J | 2000 | J Pediatr2000，137，： | 1 |
| 18 | Clinical and MRI predictors of outcome after surgical intervention for cervical spondylotic myelopathy显示文摘 | Alafifi T Kern R Fehlings M | | 0，，04： | 1 |
| 19 | Multilevel anterior cervical corpectomy and fibular allograft fusion for cervical myelopathy 显示文摘 | MacDonald R L Fehlings M G Tator C H | 1997 | J Neurosurg1997，86，6： | 1 |
| 20 | Ankylosing spondylitis and spinal cord injury: origin, incidence, management, and avoidance 显示文摘 | Jacobs W Fehlings M | 2008 | Neurosurg Focus2008，24，1： | 1 |
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