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| 1 | 急性脊髓损伤患者治疗的临床操作指南:关于MRI基线在临床治疗决策与结果预测中作用的几点建议(英文)显示文摘The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI.This review focused on longitudinal studies that controlled for baseline neurologic status.A multidisciplinary Guideline Development Group(GDG) used this information,their clinical expertise,and patient input to develop recommendations on the use of MRI for SCI patients.Based on GRADE(Grading of Recommendation,Assessment,Development and Evaluation),a strong recommendation is worded as ' we recommend,' whereas a weaker recommendation is indicated by 'we suggest.' Results Based on the limited available evidence and the clinical expertise of the GDG,our recommendations were:(1) 'We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention,when feasible,to facilitate improved clinical decision-making'(quality of evidence,very low) and(2) 'We suggest that MRI should be performed in adult patients in the acute period following SCI,before or after surgical intervention,to improve prediction of neurologic outcome '(quality of evidence,low).Conclusions These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI. | Fehlings MG Martin AR Tetreault LA Aarabi B Anderson P Arnold PM Brodke D Burns AS Chiba K Dettori JR Furlan JC Hawryluk G Holly LT Howley S Jeji T Kalsi-Ryan S Kotter M Kurpad S Kwon BK Marino RJ Massicotte E Merli G Middleton JW Nakashima H Nagoshi N Palmieri K Singh A Skelly AC Tsai EC Vaccaro A Wilson JR Yee A Harrop JS | 2017 | 中华神经外科疾病研究杂志2017，16，6： | 8 |
| 2 | Long-term outcome in children with Guillain-Barre syndrome显示文摘 | Vajsar J Fehlings D Stephns D | 2003 | J Pediatr2003，142，3： | 1 |
| 3 | A New Classification of Thoracolumbar Injuries: The Importance of Injury Morphology, the Integrity of the Posterior Ligamentous Complex, and Neurologic Status显示文摘 | Alexander R. Vaccaro Ronald A. Lehman R John Hurlbert Paul A. Anderson Mitchel Harris Rune Hedlund James Harrop Marcel Dvorak Kirkham Wood Michael G. Fehlings Charles Fisher Steven C. Zeiller D Greg Anderson Christopher M. Bono Gordon H. Stock Andrew K. B | 2005 | Spine2005，，20： | 1 |
| 4 | Botulinum toxin type A injections in the spastic upper extremity of children with hemi- plegia: child characteristics that predict a positive outcome 显示文摘 | Fehlings D Rang M Glazier J | 2001 | Eur J Neurol2001，8，5： | 1 |
| 5 | Initial development and validation of the Caregiver Priorities and Child Health In- dex of Life with Disabilities (CPCHILD) 显示文摘 | Narayanan UG Fehlings D Weir S | 2006 | Dev Med Child Neurol2006，48，10： | 1 |
| 6 | Pharmacological approaches to repair the injured spinal cord 显示文摘 | BAPTISTE D C FEHLINGS M G | 2006 | J Neurotrauma2006，23，34： | 1 |
| 7 | Current practice in the timing of surgical intervention in spinal cord injury 显示文摘 | Fehlings MG Rabin D Sears W | 2010 | Spine2010，35，21： | 1 |
| 8 | An evaluation of botulinum-A toxin injections to improve upper extremity function in children with hemiplegic cerebral palsy显示文摘 | Fehlings D Rang M Glazier J | 2000 | J Pediatr2000，137，： | 1 |
| 9 | Domoic acid production by Pseudo-nitzschia seriata (Bacilllariophyceae) in Scottish waters显示文摘 | Fehling J Green D H Davidson K | 2004 | d Phycol2004，40，： | 1 |
| 10 | Physical and chemical characteristics of blast furnace, basic oxygen furnace, and electric arc furnace steel industry slags显示文摘 | Proctor D M Fehling K A Shay E C | 2000 | Environ Sci Technol2000，34，8： | 1 |
| 11 | Sensorimotor cortical activation in patients with cervical spinal cord injury with persisting paralysis显示文摘 | Jurkiewiez MT Mikulis D J Fehlings MG e al | 2010 | Neurorehabil Neural Repair2010，24，： | 1 |
| 12 | An Evaluation of Fracture Mechanics Quarter Point Displacement Techniques Used for Computing Stress Intensity Factors显示文摘 | Fehl B D Truman K Z | 1999 | Engineering Structures1999，21，3： | 1 |
| 13 | Combining horizontal and vertical composition of services显示文摘 | Retter R Fehling C Karastoyanova D | | 0，，： | 1 |
| 14 | An Evaluation of Fracture Mechanics Quarter-point Displacement Techniques Used for Computing Stress Intensity Factors 显示文摘 | FEHL B D TRUMAN K Z | 1999 | Engineering Structures1999，21，5： | 1 |
| 15 | Active video game play in children with cerebral palsy: potential for physical activity promotion and rehabilitation therapies 显示文摘 | Howcroft J Klejman S Fehlings D | 2012 | Archives of Physical Medicine and Rehabilitation2012，93，8： | 1 |
| 16 | Update on the treatment of spinal cord injury显示文摘 | BAPTISTE D C FEHLINGS M G | 2007 | Prog Brain Res2007，161，： | 1 |
| 17 | Immunoglobulin G:a potential treatment to attenuate neuroin flammation following spinal cord injury显示文摘 | FEHLINGS M G NGUYEN D H | 2010 | Clin Immunol2010，30，1： | 1 |
| 18 | Current practice in the timing of surgical intervention in spinal cord injury显示文摘 | Fehlings MG Rabin D Sears W | 2010 | Spine2010，35，： | 1 |
| 19 | Current practice in the timing of surgical intervention in spinal cord injury 显示文摘 | Fehlings MG Rabin D Sears W | 2010 | Spine (Phila Pa 1976)2010，35，21： | 1 |
| 20 | The potential for stem cell therapies to have an impact on cerebral palsy: opportunities and limitations显示文摘 | Crystal A Ruff Stuart D Faulkner Michael G Fehlings | 2013 | Dev Med Child Neurol2013，，： | 1 |
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