title: Hyperacute stabilization (<12 hours) for polytrauma patients with unstable spinal fractures.
abstract: BACKGROUND
  The objective of this study is to validate the safety of hyperacute stabilization.
  
  
  METHODS
  Patient demographics, American Spinal Injury Association (ASIA) grade on initial evaluation and serial follow up grades, hospital length of stay, Intensive Care Unit length of stay, intraoperative blood loss, postoperative length of stay, comorbidities, Injury Severity Score and complications of recumbency were recorded.
  
  
  RESULTS
  Corroborating previous studies, our study shows polytrauma patients undergoing a hyperacute stabilization of a spinal fracture displayed a trend towards better neurological outcome and decreased hospital stays while having a similar complication rate to those operated on in a delayed fashion.
  
  
  CONCLUSIONS
  Hyperacute stabilization can be associated with improved ASIA grades even in complete injuries.
authors.affiliation: Department of Neurological Surgery, Washington University, St. Louis, MO, USA - murphyr@wudosis.wustl.edu.
authors.forename: Rory K
authors.initials: RK
authors.lastname: Murphy
authors.forename: Yizheng
authors.initials: Y
authors.lastname: He
authors.forename: Muhammad
authors.initials: M
authors.lastname: Janjua
authors.forename: Douglas
authors.initials: D
authors.lastname: Schuerer
authors.forename: Wilson Z
authors.initials: WZ
authors.lastname: Ray
authors.forename: Neill
authors.initials: N
authors.lastname: Wright
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D012189:Retrospective Studies; D016103:Spinal Fractures / Q000601:surgery*; D055815:Young Adult