Surg Neurol
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Review Case Reports
Thoracic spinal cord injury without spine fracture in an adult: case report and literature review.
The syndrome of traumatic spinal cord injury without spinal column fracture is well known and predominantly involves the cervical spine of children. One case of a thoracic spinal cord injury without bony abnormalities in an adult is reported, and the pertinent literature is reviewed. Although spinal cord injury without radiographic abnormality may exist, such injuries without neuroimaging pathology may not.
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We outline a model hospital policy that amends existing do-not-resuscitate (DNR) policies to temporarily suspend DNR orders during the perioperative period. The policy amendment is justified because, by accommodating the needs of the DNR patient, the surgeon, and the anesthesiologist, it contributes to the betterment of patient care.