Efficacy of surgical treatment in traumatic central cord syndrome |
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Authors: | TY Chen ST Lee TN Lui CW Wong YS Yeh WC Tzaan SY Hung |
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Affiliation: | Department of Neurosurgery, Chang Gung Medical College, Kweishan, Taoyuan, Taiwan. |
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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. |
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