Delayed surgical intervention in central cord syndrome with cervical stenosis

Moon Soo Park, seonghwan moon, Hwan Mo Lee, Tae Hwan Kim, Jae Keun Oh, Bo Kyung Suh, Seung Jin Lee, K. Daniel Riew

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Study Design-Review of the literature. Objective-It is generally accepted that surgical treatment is necessary for central cord syndrome (CCS) with an underlying cervical stenosis. However, the surgical timing for decompression is controversial in spondylotic cervical CCS. The purpose of this study is to review the results of early and delayed surgery in patients with spondylotic cervical CCS. Methods-MEDLINE was searched for English-language articles on CCS. There were 1,653 articles from 1940 to 2012 regarding CCS, 5 of which dealt with the timing of surgery for spondylotic cervical CCS. Results-All five reports regarding the surgical timing of spondylotic cervical CCS were retrospective. Motor improvement, functional independence measures, and walking ability showed similar improvement in early and late surgery groups in the studies with follow-up longer than 1 year. However, greater improvement was seen in the early surgery group in the studies with follow-up shorter than 1 year. The complication rates did not show a difference between the early and late surgery groups. However, there are controversies regarding the length of intensive care unit stay or hospital stay for the two groups. Conclusions-There was no difference in motor improvement, functional independence, walking ability, and complication rates between early and late surgery for spondylotic cervical CCS.

Original languageEnglish
JournalGlobal Spine Journal
Volume11
Issue number6
DOIs
Publication statusPublished - 2014 Nov 13

Fingerprint

Central Cord Syndrome
Pathologic Constriction
Aptitude
Walking
Surgical Decompression
MEDLINE
Intensive Care Units
Length of Stay
Language
Cervical Cord

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Park, Moon Soo ; moon, seonghwan ; Lee, Hwan Mo ; Kim, Tae Hwan ; Oh, Jae Keun ; Suh, Bo Kyung ; Lee, Seung Jin ; Riew, K. Daniel. / Delayed surgical intervention in central cord syndrome with cervical stenosis. In: Global Spine Journal. 2014 ; Vol. 11, No. 6.
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abstract = "Study Design-Review of the literature. Objective-It is generally accepted that surgical treatment is necessary for central cord syndrome (CCS) with an underlying cervical stenosis. However, the surgical timing for decompression is controversial in spondylotic cervical CCS. The purpose of this study is to review the results of early and delayed surgery in patients with spondylotic cervical CCS. Methods-MEDLINE was searched for English-language articles on CCS. There were 1,653 articles from 1940 to 2012 regarding CCS, 5 of which dealt with the timing of surgery for spondylotic cervical CCS. Results-All five reports regarding the surgical timing of spondylotic cervical CCS were retrospective. Motor improvement, functional independence measures, and walking ability showed similar improvement in early and late surgery groups in the studies with follow-up longer than 1 year. However, greater improvement was seen in the early surgery group in the studies with follow-up shorter than 1 year. The complication rates did not show a difference between the early and late surgery groups. However, there are controversies regarding the length of intensive care unit stay or hospital stay for the two groups. Conclusions-There was no difference in motor improvement, functional independence, walking ability, and complication rates between early and late surgery for spondylotic cervical CCS.",
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Delayed surgical intervention in central cord syndrome with cervical stenosis. / Park, Moon Soo; moon, seonghwan; Lee, Hwan Mo; Kim, Tae Hwan; Oh, Jae Keun; Suh, Bo Kyung; Lee, Seung Jin; Riew, K. Daniel.

In: Global Spine Journal, Vol. 11, No. 6, 13.11.2014.

Research output: Contribution to journalArticle

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AU - Park, Moon Soo

AU - moon, seonghwan

AU - Lee, Hwan Mo

AU - Kim, Tae Hwan

AU - Oh, Jae Keun

AU - Suh, Bo Kyung

AU - Lee, Seung Jin

AU - Riew, K. Daniel

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