Delayed surgical intervention in central cord syndrome with cervical stenosis

Moon Soo Park, Seong Hwan 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

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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    Park, M. S., Moon, S. H., Lee, H. M., Kim, T. H., Oh, J. K., Suh, B. K., Lee, S. J., & Riew, K. D. (2014). Delayed surgical intervention in central cord syndrome with cervical stenosis. Global Spine Journal, 11(6). https://doi.org/10.1055/s-0034-1395785