Efficacy of surgical treatment in traumatic central cord syndrome

Tzu Yung Chen, Shih Tseng Lee, Tai Ngar Lui, Cheuk W. Wong, Yi Shian Yeh, Wen Ching Tzaan, Shang Y. Hung

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Abstract

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.

Original languageEnglish
Pages (from-to)435-441
Number of pages7
JournalSurgical Neurology
Volume48
Issue number5
DOIs
Publication statusPublished - Nov 1997
Externally publishedYes

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Keywords

  • Activity of daily living
  • MR image
  • Surgical treatment
  • Traumatic central cord syndrome

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Chen, T. Y., Lee, S. T., Lui, T. N., Wong, C. W., Yeh, Y. S., Tzaan, W. C., & Hung, S. Y. (1997). Efficacy of surgical treatment in traumatic central cord syndrome. Surgical Neurology, 48(5), 435-441. https://doi.org/10.1016/S0090-3019(97)00037-2