Title |
Design of COSMIC: a randomized, multi-centre controlled trial comparing conservative or early surgical management of incomplete cervical cord syndrome without spinal instability
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Published in |
BMC Musculoskeletal Disorders, January 2013
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DOI | 10.1186/1471-2474-14-52 |
Pubmed ID | |
Authors |
Ronald HMA Bartels, Allard JF Hosman, Henk van de Meent, Jeannette Hofmeijer, Pieter E Vos, Willem Bart Slooff, F Cumhur Öner, Maarten H Coppes, Wilco C Peul, André LM Verbeek |
Abstract |
Incomplete cervical cord syndrome without spinal instability is a very devastating event for the patient and the family. It is estimated that up to 25% of all traumatic spinal cord lesions belong to this category. The treatment for this type of spinal cord lesion is still subject of discussion. From a biological point of view early surgery could prevent secondary damage due to ongoing compression of the already damaged spinal cord. Historically, however, conservative treatment was propagated with good clinical results. Proponents for early surgery as well those favoring conservative treatment are still in debate. The proposed trial will contribute to the discussion and hopefully also to a decrease in the variability of clinical practice. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Netherlands | 2 | 67% |
Norway | 1 | 33% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 101 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 16 | 16% |
Student > Doctoral Student | 14 | 14% |
Student > Bachelor | 11 | 11% |
Student > Ph. D. Student | 11 | 11% |
Researcher | 7 | 7% |
Other | 9 | 9% |
Unknown | 33 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 26 | 26% |
Nursing and Health Professions | 17 | 17% |
Neuroscience | 6 | 6% |
Agricultural and Biological Sciences | 3 | 3% |
Economics, Econometrics and Finance | 2 | 2% |
Other | 9 | 9% |
Unknown | 38 | 38% |