BACKGROUND: Controversy surrounds the treatment of traumatic central cord syndrome (TCCS), as there are strong advocates for nonsurgical treatment for most patients. However, conservative treatment has been shown to yield a longer period of discomfort from pain and weakness in certain cases. METHODS: In a retrospective review of 114 patients presenting with acute or chronic TCCS from 1988-94, four different age groups were separately observed under different treatments. Motor and sensory recovery were assessed. RESULTS: Better results were achieved in younger patients, with or without radiographic abnormalities, and in patients with clinically correlated encroaching cord lesions who received early surgical decompression. CONCLUSIONS: Surgical intervention for TCCS must be addressed with careful clinical and radiographic survey. Removal of offending lesions in the subacute period results in significant motor and sensory improvement in short-term and long-term follow-up.
BACKGROUND: Controversy surrounds the treatment of traumatic central cord syndrome (TCCS), as there are strong advocates for nonsurgical treatment for most patients. However, conservative treatment has been shown to yield a longer period of discomfort from pain and weakness in certain cases. METHODS: In a retrospective review of 114 patients presenting with acute or chronic TCCS from 1988-94, four different age groups were separately observed under different treatments. Motor and sensory recovery were assessed. RESULTS: Better results were achieved in younger patients, with or without radiographic abnormalities, and in patients with clinically correlated encroaching cord lesions who received early surgical decompression. CONCLUSIONS: Surgical intervention for TCCS must be addressed with careful clinical and radiographic survey. Removal of offending lesions in the subacute period results in significant motor and sensory improvement in short-term and long-term follow-up.
Authors: P K Karthik Yelamarthy; H S Chhabra; Alex Vaccaro; Gayatri Vishwakarma; Patrick Kluger; Ankur Nanda; Rainer Abel; Wee Fu Tan; Brian Gardner; P Sarat Chandra; Sandip Chatterjee; Serdar Kahraman; Sait Naderi; Saumyajit Basu; Francois Theron Journal: Eur Spine J Date: 2019-07-31 Impact factor: 3.134
Authors: Carlos Aitor Macias; Matthew R Rosengart; Juan-Carlos Puyana; Walter T Linde-Zwirble; Wade Smith; Andrew B Peitzman; Derek C Angus Journal: Ann Surg Date: 2009-01 Impact factor: 12.969
Authors: Srikanth N Divi; Gregory D Schroeder; John J Mangan; Madeline Tadley; Wyatt L Ramey; Jetan H Badhiwala; Michael G Fehlings; F Cumhur Oner; Frank Kandziora; Lorin M Benneker; Emiliano N Vialle; Shanmuganathan Rajasekaran; Jens R Chapman; Alexander R Vaccaro Journal: Global Spine J Date: 2019-05-08
Authors: Jakub Godzik; Jonathan Dalton; Courtney Hemphill; Corey Walker; Kristina Chapple; Alan Cook; Juan S Uribe; Jay D Turner Journal: J Spine Surg Date: 2019-12