Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients With Thoracolumbar Spine Trauma: Hemodynamic Management

Neurosurgery. 2019 Jan 1;84(1):E43-E45. doi: 10.1093/neuros/nyy368.


Question: Does the active maintenance of arterial blood pressure after injury affect clinical outcomes in patients with thoracic and lumbar fractures?

Recommendations: There is insufficient evidence to recommend for or against the use of active maintenance of arterial blood pressure after thoracolumbar spinal cord injury. Grade of Recommendation: Grade Insufficient However, in light of published data from pooled (cervical and thoracolumbar) spinal cord injury patient populations, clinicians may choose to maintain mean arterial blood pressures >85 mm Hg in an attempt to improve neurological outcomes. Consensus Statement by the Workgroup The full version of the guideline can be reviewed at:

Publication types

  • Guideline
  • Systematic Review

MeSH terms

  • Evidence-Based Medicine
  • Guidelines as Topic
  • Hemodynamics*
  • Humans
  • Lumbar Vertebrae / injuries*
  • Neurosurgery / standards*
  • Spinal Cord Injuries / surgery
  • Spinal Fractures / physiopathology
  • Spinal Fractures / therapy
  • Spinal Injuries / physiopathology
  • Spinal Injuries / therapy*
  • Thoracic Vertebrae / injuries*