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Acute Traumatic Central Cord Syndrome: Early Decompression or Not?

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Author(s)
Insoo Kim
Keimyung Author(s)
Kim, In Soo
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Korean Journal of Spine
Issued Date
2011
Volume
8
Issue
1
Keyword
American Spinal Injury Association scoreSurgical treatmentCentral cord syndrome
Abstract
Objective: The purpose of this study is to compare the clinical outcomes of the patients with acute traumatic central cord
syndrome (ATCCS) who were managed between early surgical treatment and conservative treatment.
Methods: Between March 2004 and May 2007, 45 patients with ATCCS were treated. 27 patients were treated surgically
and 18 patients were treated conservatively. Early decompressive surgery was performed within 24 hours after the trauma
in all surgical patients. All patients were admitted within 8 hours of injury and high-dose methylprednisolone was administered.
The clinical and radiological data were collected for each patient.
Results: The significant improvement of American Spinal Injury Association (ASIA) score was achieved within the first 6
months of the surgery. There were statistically significant differences (p<0.05) between the surgical and conservatively
treated patients at 1, 3 and 6 months follow-ups. However, there were no statistically significant differences of the improvements
between two groups at 1 year. The ASIA score improvement had a positive correlation with the age at injury. The
patients who were older than 65 years at injury showed statistically lower motor improvement than the patients who were
younger than 65 years. The lengths of hospital stay were significantly shorter in patients with surgical treatments (p<0.05)
than those in patients without surgery.
Conclusion: Comparing with conservative treatment, early surgical decompression may be associated with rapid neurologic
improvement, early mobilization, and shorter periods of hospitalization.
Keimyung Author(s)(Kor)
김인수
Publisher
School of Medicine
Citation
Insoo Kim. (2011). Acute Traumatic Central Cord Syndrome: Early Decompression or Not? Korean Journal of Spine, 8(1), 45–51. doi: 10.14245/kjs.2011.8.1.45
Type
Article
ISSN
1738-2262
DOI
10.14245/kjs.2011.8.1.45
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39652
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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