PMID: 19948700Dec 2, 2009Paper

Central cord syndrome

The Journal of the American Academy of Orthopaedic Surgeons
Douglas D NowakSteven C Ludwig

Abstract

Central cord syndrome is the most common type of incomplete spinal cord injury. This syndrome most often occurs in older persons with underlying cervical spondylosis caused by a hyperextension mechanism. It also occurs in younger persons who sustain trauma to the cervical spine and, less commonly, as a result of nontraumatic causes. The upper extremities are more affected than the lower extremities, with motor function more severely impaired than sensory function. Central cord syndrome presents a spectrum, from weakness limited to the hands and forearms with sensory preservation, to compete quadriparesis with sacral sparing as the only evidence of incomplete spinal cord injury. Historically, treatment has been nonsurgical, but recovery is often incomplete. Early surgical treatment of central cord syndrome remains controversial. However, recent studies have shown benefits, particularly of early surgery to decompress the spinal cord in patients with pathologic conditions revealed by radiography or MRI.

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Citations

May 20, 2015·Practical Neurology·Alexander E RopperNicholas Theodore
Feb 18, 2011·Anesthesiology·Bradley J HindmanKaren B Domino
Jul 3, 2013·Neurosurgical Focus·Nader S DahdalehZachary A Smith
Oct 4, 2013·The Journal of Trauma and Acute Care Surgery·Hiroyuki Yoshihara, Daisuke Yoneoka
Aug 7, 2014·The Journal of Spinal Cord Medicine·Cynthia ThompsonJean-Marc Mac-Thiong
May 26, 2017·Geriatric Orthopaedic Surgery & Rehabilitation·Tochukwu C Ikpeze, Addisu Mesfin
Feb 1, 2014·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Alexander AichmairDarren R Lebl
Mar 25, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Masahito OshinaK Daniel Riew
May 20, 2020·Clinical Practice and Cases in Emergency Medicine·Thomas DangMichael M Neeki
Apr 17, 2012·Annals of Rehabilitation Medicine·Soyoung LeeHyukwon Chang
Oct 21, 2016·Journal of Neurosurgical Sciences·Li-Fu ChenSu-Shun Lo
Sep 17, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Guoliang ChenShaoyu Liu

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