Different preoperative approaches for acute lumber spinal fractures

Area of Science:

• Neurosurgery
• Traumatology
• Orthopedic Surgery

Background:

• Spinal fractures require effective preoperative management to improve patient outcomes.
• Comparing hyperbaric oxygen therapy and methylprednisolone infusion offers insights into optimal treatment strategies.

Purpose of the Study:

• To compare the long and short-term effectiveness of hyperbaric oxygen therapy versus methylprednisolone infusion for lumber spinal fractures.
• To identify a superior surgical approach for managing lumber spinal injuries.

Main Methods:

• Analysis of follow-up records from 144 patients with lumber spinal injuries.
• Patients received either hyperbaric oxygen therapy or methylprednisolone infusion within 8 hours post-injury.
• Postoperative outcomes were assessed immediately and at 3, 6, 12, and 36 months.

Main Results:

• No significant baseline differences were observed in age, sex, BMI, VAS, or Frankel scores.
• Significant differences in VAS and Frankel scores were noted immediately post-surgery.
• Hyperbaric oxygen therapy demonstrated superior effectiveness compared to methylprednisolone infusion.

Conclusions:

• Hyperbaric oxygen therapy administered within 8 hours post-injury is more effective than methylprednisolone infusion for lumber spinal injuries.
• Early intervention with hyperbaric oxygen therapy may improve postoperative recovery and functional outcomes.