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SM ISO690:2012 MORARU, Vladimir. Standardele internaţionale pentru clasificarea deficitilor neurologice funcţionale în traumatizmele vertebro-medulare
. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2010, nr. 4(11), pp. 171-176. ISSN 1857-1719. |
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Analele Ştiinţifice ale USMF „N. Testemiţanu” | ||||||
Numărul 4(11) / 2010 / ISSN 1857-1719 | ||||||
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Pag. 171-176 | ||||||
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International standards of classification of neurological and functional deficities in spinal cord injury
The effective management of patients with acute spinal cord injury (SCI) depends upon
accurate clinical examination and classification of the neurological injury and detailed
radiological assessment of the vertebral column injury.15 The most useful clinical classification is based on the assessment of the functional neurological damage as determined by the clinical examination rather than on other criteria such as the pathological, electrophysiological, or imaging features. Accurate clinical and radiological assessments permit the development of a rational treatment plan and the determination of the likely prognosis. The neurological assessment and classification must be sufficiently reliable to allow accurate comparisons of serial observationsby the same or different observers. In the early 1990s, the American Spinal Injury Association (ASIA) convened consensus meetings of representatives from several disciplines involved in the management of patients with acute SCI and from several countries, and in 1992, ASIA along with the International Medical Society of Paraplegia (IMSOP) published the International Standards for Neurological and Functional Classification of Spinal Cord Injury.1 This new ASIA/ IMSOP classification is a considerable improvement and should be used by all physicians and surgeons who manage patients with acute SCI, just as the Glasgow Coma Scale is used to assess head injuries. |
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