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Updated: Apr 30, 2026
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Thoracic Spinal Cord Hemisection Surgery and Open-Field Locomotor Assessment in the Rat
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Thoracic Segmental Spinal Anesthesia (TSSA) Recovery Score: A Proposed Tool for Assessing Discharge Readiness After
Imran Ahmed Khan1, Naresh Paliwal2, Geetanjali Singhal3
1Anesthesiology and Public Health, Keshav Memorial Charity (KMC) Medical College and Hospital, Maharajganj, IND.
Cureus
|April 29, 2026
Summary
A new scoring system for thoracic segmental spinal anesthesia (TSSA) aids discharge decisions. This four-parameter bedside tool assesses recovery, promoting standardized patient care after TSSA procedures.
Area of Science:
- Anesthesiology
- Regional Anesthesia
- Surgical Recovery
Background:
- Thoracic segmental spinal anesthesia (TSSA) is a regional technique for surgery.
- Standardized TSSA discharge criteria are lacking, causing clinical practice variability.
- This variability poses potential patient safety concerns.
Purpose of the Study:
- To develop a simple, bedside scoring system for TSSA recovery assessment.
- To standardize discharge readiness evaluation following TSSA.
Main Methods:
- A four-parameter scoring system was designed.
- Parameters include hemodynamic stability, sensory block regression (upper/lower), and motor recovery.
- Each parameter is scored 0-2, with a maximum total score of 8.
Main Results:
- A total score of ≥7 indicates readiness for discharge when combined with standard criteria.
- The system offers a structured bedside approach for TSSA recovery assessment.
Conclusions:
- The proposed scoring system facilitates standardized TSSA discharge readiness assessment.
- Prospective validation is needed to confirm reliability and generalizability across patient groups.
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