Efficacy of surgical treatment in traumatic central cord syndrome

Tzu Yung Chen; Shih Tseng Lee; Tai Ngar Lui; Cheuk Wah Wong; Yi Shian Yeh; Wen Ching Tzaan; Shang Yu Hung

doi:10.1016/S0090-3019(97)00037-2

Efficacy of surgical treatment in traumatic central cord syndrome

Tzu Yung Chen^*, Shih Tseng Lee, Tai Ngar Lui, Cheuk Wah Wong, Yi Shian Yeh, Wen Ching Tzaan, Shang Yu Hung

^*Corresponding author for this work

School of Medicine

Chang Gung University

Research output: Contribution to journal › Journal Article › peer-review

77 Scopus citations

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.

Original language	English
Pages (from-to)	435-441
Number of pages	7
Journal	Surgical Neurology
Volume	48
Issue number	5
DOIs	https://doi.org/10.1016/S0090-3019(97)00037-2
State	Published - 11 1997

Keywords

Activity of daily living
MR image
Surgical treatment
Traumatic central cord syndrome

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10.1016/S0090-3019(97)00037-2

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title = "Efficacy of surgical treatment in traumatic central cord syndrome",

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.",

keywords = "Activity of daily living, MR image, Surgical treatment, Traumatic central cord syndrome",

author = "Chen, \{Tzu Yung\} and Lee, \{Shih Tseng\} and Lui, \{Tai Ngar\} and Wong, \{Cheuk Wah\} and Yeh, \{Yi Shian\} and Tzaan, \{Wen Ching\} and Hung, \{Shang Yu\}",

year = "1997",

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doi = "10.1016/S0090-3019(97)00037-2",

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volume = "48",

pages = "435--441",

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TY - JOUR

T1 - Efficacy of surgical treatment in traumatic central cord syndrome

AU - Chen, Tzu Yung

AU - Lee, Shih Tseng

AU - Lui, Tai Ngar

AU - Wong, Cheuk Wah

AU - Yeh, Yi Shian

AU - Tzaan, Wen Ching

AU - Hung, Shang Yu

PY - 1997/11

Y1 - 1997/11

N2 - 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.

AB - 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.

KW - Activity of daily living

KW - MR image

KW - Surgical treatment

KW - Traumatic central cord syndrome

UR - https://www.scopus.com/pages/publications/0030782729

U2 - 10.1016/S0090-3019(97)00037-2

DO - 10.1016/S0090-3019(97)00037-2

M3 - 文章

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AN - SCOPUS:0030782729

SN - 0090-3019

VL - 48

SP - 435

EP - 441

JO - Surgical Neurology

JF - Surgical Neurology

IS - 5

ER -

Efficacy of surgical treatment in traumatic central cord syndrome

Abstract

Keywords

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