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 language | English |
|---|---|
| Journal | Global Spine Journal |
| Volume | 11 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2014 Nov 13 |
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All Science Journal Classification (ASJC) codes
- Surgery
- Orthopedics and Sports Medicine
- Clinical Neurology
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}
Delayed surgical intervention in central cord syndrome with cervical stenosis. / Park, Moon Soo; Moon, Seong Hwan; 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 journal › Article
TY - JOUR
T1 - Delayed surgical intervention in central cord syndrome with cervical stenosis
AU - Park, Moon Soo
AU - Moon, Seong Hwan
AU - Lee, Hwan Mo
AU - Kim, Tae Hwan
AU - Oh, Jae Keun
AU - Suh, Bo Kyung
AU - Lee, Seung Jin
AU - Riew, K. Daniel
PY - 2014/11/13
Y1 - 2014/11/13
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84909957943&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84909957943&partnerID=8YFLogxK
U2 - 10.1055/s-0034-1395785
DO - 10.1055/s-0034-1395785
M3 - Article
AN - SCOPUS:84909957943
VL - 11
JO - Global Spine Journal
JF - Global Spine Journal
SN - 2192-5682
IS - 6
ER -