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J Neurol Surg A Cent Eur Neurosurg 2020; 81(04): 318-323
DOI: 10.1055/s-0039-1691753
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Effect of Surgical Intervention on Neurologic Recovery in Patients with Central Cord Syndrome

Li Du
1   Department of Orthopaedics, Shanghai Fengxian Central Hospital, Shanghai, China
,
Shichang Zhao
2   Department of Orthopaedics, Shanghai Sixth People's Hospital, Shanghai, China
,
Zhongsheng Zhu
1   Department of Orthopaedics, Shanghai Fengxian Central Hospital, Shanghai, China
,
Feng Xue
1   Department of Orthopaedics, Shanghai Fengxian Central Hospital, Shanghai, China
,
Yadong Zhang
1   Department of Orthopaedics, Shanghai Fengxian Central Hospital, Shanghai, China
3   Department of Orthopaedics, Fengxian Hospital, Southern Medical University, China
› Institutsangaben
Funding This study was supported by the National Natural Science Foundation of China (51672191, 81871774) and the foundation of medical group of the Six People’s Hospital Affiliated to Shanghai Jiao Tong University (2018 Duli).
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Publikationsverlauf

17. August 2018

06. Februar 2019

Publikationsdatum:
15. April 2020 (online)

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Abstract

To review the experience of managing central cord syndrome (CCS) surgically, we retrospectively reviewed 71 patients from October 2015 to April 2017. Deteriorating neurologic status with evidence of radiologic compression and spinal instability were absolute indications for surgery. The American Spinal and Injury Association (ASIA) motor scores (AMS) were recorded at the time of admission (aAMS), 3 days postoperatively (3dAMS), 1 month postoperatively(1mAMS), and at final follow-up (fAMS). Analysis of variance was performed to compare 3dAMS, 1mAMS, and fAMS. Surgery was successful in all 71 patients without re-injury of the spinal cord, infection, or other perioperative complications. The postoperative AMS at 3 days, 1 month, and at the final follow-up significantly improved over preoperative scores. ASIA sensory scores at fAMS were significantly better than 3dAMS and1mAMS scores. The ASIA motor and sensory scores at 1mAMS showed no significant improvements compared with the 3dAMS. Therefore, for patients diagnosed with CCS, combined with evidence of radiologic compression and spinal instability, surgery was beneficial in terms of gains in neurologic recovery.

Keywords

central cord syndrome - incomplete spinal cord injury - cervical spine - surgical decompression