Treatment Protocol /Technique

After clinical (ASIA) and MRI staging of severity (contusion & total disruption with or without gap) and assessment of type (Cystic \Lacerative or Diffuse lesion) We manage on a specific protocol:

Immediate
  • Postural reduction.
  • Hypothermia -Application of cold packs at site of injury.
  • maintain Blood Pressure on higher side.
  • maintenance of arterial oxygen levels.
  • Drugs like Methylprednisilone.

Followed by Decompressive surgery with fixation +\- omental transposition as early as possible.

With in 15 days to 6 months
  • Injection of Bone marrow mononuclear cells isolated from iliac bones .
  • Auyervedic medicines–extract of mimosa pudica
  • Drugs like Minocycline
  • Physiotherapy and specific Rehabilitation Regimen


After 6 months-
  • Duroplasty
  • Scar reduction
  • Whole Autologous olfactory tissue transplantation
  • Sural nerve grafting +\-
  • Omental transposition +\-


 

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