James S Harrop1, Ashwini Sharan, Jonathon Ratliff. 1. Department of Neurosurgery, Jefferson Medical College, 909 Walnut St., 2nd Floor, Philadelphia, PA 19107, USA. James.harrop@jefferson.edu
Abstract
BACKGROUND CONTEXT: Cervical spinal trauma can result in a heterogeneous collection of spinal cord injury syndromes. Acute traumatic central cord syndrome is a common category of which no uniform consensus on the etiology, pathophysiology, and treatment exists. PURPOSE: To evaluate and review potential pathophysiology, current treatment options, and management of central cord injuries. STUDY DESIGN: Comprehensive literature review and clinical experience. METHODS: A systematic review of Medline for articles related to central cord and spinal cord injury was conducted up to and including journal articles published in September 2005. CONCLUSIONS: Central cord injuries is a clinical definition which is composed of a heterogeneous population for which medical management and surgical decompression and stabilization provide improved neurologic recovery.
BACKGROUND CONTEXT: Cervical spinal trauma can result in a heterogeneous collection of spinal cord injury syndromes. Acute traumatic central cord syndrome is a common category of which no uniform consensus on the etiology, pathophysiology, and treatment exists. PURPOSE: To evaluate and review potential pathophysiology, current treatment options, and management of central cord injuries. STUDY DESIGN: Comprehensive literature review and clinical experience. METHODS: A systematic review of Medline for articles related to central cord and spinal cord injury was conducted up to and including journal articles published in September 2005. CONCLUSIONS:Central cord injuries is a clinical definition which is composed of a heterogeneous population for which medical management and surgical decompression and stabilization provide improved neurologic recovery.