Abstract
To compare early changes in the ASIA Motor Score (AMS) between patients with central cord syndrome (CCS) from an acute fracture to patients without a fracture. Patients with CCS were identified and stratified based on the presence of a fracture. The AMS through the first week of the patients' hospitalization was obtained. Initial injury severity as well as early neurologic recovery was measured using the AMS. Analysis of variance was performed to determine if age, gender, rectal tone at presentation, congenital stenosis, or surgery within 24 h significantly effected the change in AMS. A strong trend (p = 0.0504) towards a more severe initial neurologic injury in patients with a fracture (AMS 59.7) than in patients without a fracture (AMS 70.2) was identified. However, in the week after injury, patients with a fracture had an improvement in their neurologic function (ΔAMS +4.8) while patients without a fracture demonstrated neurologic decline (ΔAMS -5.9). The change in AMS between patients with and without a fracture was nearly significant (p = 0.06). Patients with central cord syndrome present with similar symptoms, but injuries with and without a fracture may be associated with a different early neurologic recovery. Patients w...Continue Reading
References
Jul 18, 2002·Journal of Neurosurgery·James GuestVolker K H Sonntag
Aug 7, 2002·Spine·Yoichiro Ishida, Toshikatsu Tominaga
Nov 1, 1954·Journal of Neurosurgery·R C SCHNEIDERH PANTEK
Nov 3, 2004·Archives of Physical Medicine and Rehabilitation·Ralph J Marino, Daniel E Graves
Feb 1, 2005·Surgical Neurology·Tomosato YamazakiTadao Nose
Oct 18, 2005·Spine·Marcel F DvorakBrian Kwon
Oct 6, 2006·Journal of Spinal Disorders & Techniques·Y Raja RampersaudAlexander R Vaccaro
Dec 21, 2006·Spinal Cord·J W FawcettD Short
Nov 5, 2008·Neurosurgical Focus·Bizhan AarabiDavid Ibrahimi
Jan 6, 2009·Journal of Neurosurgery. Spine·Liang ChenTiansi Tang
Sep 28, 2010·The Spine Journal : Official Journal of the North American Spine Society·E Andrew StevensAlexander K Powers
Dec 21, 2010·Journal of Neurosurgery. Spine·Bizhan AarabiTiffany Blacklock
Apr 15, 2011·Brain : a Journal of Neurology·Wen Ru YuMichael G Fehlings
Mar 3, 2012·PloS One·Michael G FehlingsRaja Rampersaud
Mar 8, 2013·Neurobiology of Disease·Spyridon K KaradimasMichael G Fehlings
Aug 22, 2013·Spine·Spyridon K KaradimasMichael G Fehlings
Citations
Jan 9, 2016·Journal of Neurosurgery. Spine·Gregory D SchroederChristopher K Kepler
Sep 18, 2015·Neurosurgery·Karen K AndersonPaul M Arnold
Dec 20, 2017·Spinal Cord·Tsunehiko KonomiTakashi Asazuma
Nov 24, 2016·Clinical Spine Surgery : a Spine Publication·Markus LoiblAlpesh A Patel
Apr 4, 2018·The Journal of Bone and Joint Surgery. American Volume·Peter J WagnerMichael P Stauff
Oct 10, 2015·Journal of Neurosurgery. Spine·Gregory D SchroederAlexander R Vaccaro
Jun 4, 2019·Global Spine Journal·Srikanth N DiviAlexander R Vaccaro
Aug 2, 2019·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·P K Karthik YelamarthyFrancois Theron