*Corresponding author:Nabil A Alageli, Consultant orthopaedic and spine surgeon, Tripoli Medical Centre, PO Box 80596, Zawia Street Office Tripoli, Libya
Received: October 19, 2017; Published: October 26, 2017
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The incidence of spinal cord injuries is the lowest of all major trauma, with devastating impact on the individual affected. The immediate treatment, though it remains mainly supportive, in many situations will determine the outcome and the cost of health care. Standards of care are unfortunately still lacking, this is mainly due to the existing controversies and lack of effective treatment of the injured cord. The author discusses here some of the controversial points based on literature review and personal observation.
Keywords : MP: Methyl Prednisolone; NASCIS: National Acute spinal Cord Injuries Study; SDI: Spinal Decompression in Acute