Table 6

Spine surgeon traumatic SCI practice differences based on the number of cases managed per year.

Practice Regarding SCIsNumber of Cases of Acute SCI You Manage per Year P Value
<1010–20>20
No%No%No%
Your practice regarding giving steroids in an acute SCI patient0.528
 I never give steroids2040.0%939.1%1456.0%
 I give if injury is less than 8 h1224.0%521.7%624.0%
 I give if injury is less than 24 h1122.0%521.7%520.0%
 I give regardless of time of the injury714.0%417.4%00.0%
If you give steroids, how long do you keep the patient on it?0.191
 1 dose620.0%17.1%00.0%
 Up to 12 h00.0%17.1%00.0%
 Up to 24 h1343.3%428.6%763.6%
 Up to 48 h1136.7%857.1%436.4%
Steroid medication administered0.628
 Dexamethasone1343.3%642.9%327.3%
 Methylprednisolone sodium succinate1756.7%857.1%872.7%
Do you admit isolated SCI patients in high-dependency unit?0.029a
 Yes, all of them2244.0%730.4%520.0%
 Only cervical cord injury1632.0%1460.9%1040.0%
 Depends on availability of beds612.0%28.7%832.0%
 None of them612.0%00.0%28.0%
Do you aim to keep the mean arterial pressure in a certain range?0.550
 Yes4182.0%1982.6%1872.0%
 No918.0%417.4%728.0%
Do you try to do early decompression?0.324
 I always do decompression in less than 24 h of the injury3264.0%1565.2%1144.0%
 I believe in early decompression, but the facility does not allow this practice612.0%313.0%728.0%
 Whenever operating room time is available612.0%313.0%624.0%
 I don't believe early decompression adds neurological benefit612.0%28.7%14.0%
  • Abbreviations: SCI, spinal cord injury;

  • a P < 0.05 (significant).