Management of acute traumatic central cord syndrome (ATCCS)

Bizhan Aarabi; Mark N. Hadley; Sanjay S. Dhall; Daniel E. Gelb; R. John Hurlbert; Curtis J. Rozzelle; Timothy C. Ryken; Nicholas Theodore; Beverly C. Walters

doi:10.1227/NEU.0b013e318276f64b

Management of acute traumatic central cord syndrome (ATCCS)

Bizhan Aarabi, Mark N. Hadley, Sanjay S. Dhall, Daniel E. Gelb, R. John Hurlbert, Curtis J. Rozzelle, Timothy C. Ryken, Nicholas Theodore, Beverly C. Walters

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

78 Scopus citations

Abstract

Class III medical evidence supports the aggressive medical management including ICU care of all patients with a spinal cord injury, including those with ATCCS. Class III medical evidence suggests that surgery for ATCCS is safe and appears to be efficacious (in conjunction with medical management) for patients with focal cord compression, or to provide operative reduction and internal fixation and fusion of cervical spinal fracture dislocation injuries. The role of surgery for patients with ATCCS with long segment cord compression/injury or with spinal stenosis without bony injury remains a subject of debate in the literature. ^{19,23,26,27,31,37,38,81,94-101} Patient age and comorbidities are important factors when considering surgical treatment for patients with ATCCS.^{19,22,26,28-29,33,35,81,84,85}.

Original language	English (US)
Pages (from-to)	195-204
Number of pages	10
Journal	Neurosurgery
Volume	72
Issue number	SUPPL.2
DOIs	https://doi.org/10.1227/NEU.0b013e318276f64b
State	Published - Mar 2013
Externally published	Yes

Keywords

Central cord syndrome
Chronic central spinal cord syndrome
Spinal cord injury
Variable neurological recovery

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1227/NEU.0b013e318276f64b

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title = "Management of acute traumatic central cord syndrome (ATCCS)",

abstract = "Class III medical evidence supports the aggressive medical management including ICU care of all patients with a spinal cord injury, including those with ATCCS. Class III medical evidence suggests that surgery for ATCCS is safe and appears to be efficacious (in conjunction with medical management) for patients with focal cord compression, or to provide operative reduction and internal fixation and fusion of cervical spinal fracture dislocation injuries. The role of surgery for patients with ATCCS with long segment cord compression/injury or with spinal stenosis without bony injury remains a subject of debate in the literature. 19,23,26,27,31,37,38,81,94-101 Patient age and comorbidities are important factors when considering surgical treatment for patients with ATCCS.19,22,26,28-29,33,35,81,84,85.",

keywords = "Central cord syndrome, Chronic central spinal cord syndrome, Spinal cord injury, Variable neurological recovery",

author = "Bizhan Aarabi and Hadley, {Mark N.} and Dhall, {Sanjay S.} and Gelb, {Daniel E.} and {John Hurlbert}, R. and Rozzelle, {Curtis J.} and Ryken, {Timothy C.} and Nicholas Theodore and Walters, {Beverly C.}",

year = "2013",

month = mar,

doi = "10.1227/NEU.0b013e318276f64b",

language = "English (US)",

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journal = "Neurosurgery",

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AU - Aarabi, Bizhan

AU - Hadley, Mark N.

AU - Dhall, Sanjay S.

AU - Gelb, Daniel E.

AU - John Hurlbert, R.

AU - Rozzelle, Curtis J.

AU - Ryken, Timothy C.

AU - Theodore, Nicholas

AU - Walters, Beverly C.

PY - 2013/3

Y1 - 2013/3

N2 - Class III medical evidence supports the aggressive medical management including ICU care of all patients with a spinal cord injury, including those with ATCCS. Class III medical evidence suggests that surgery for ATCCS is safe and appears to be efficacious (in conjunction with medical management) for patients with focal cord compression, or to provide operative reduction and internal fixation and fusion of cervical spinal fracture dislocation injuries. The role of surgery for patients with ATCCS with long segment cord compression/injury or with spinal stenosis without bony injury remains a subject of debate in the literature. 19,23,26,27,31,37,38,81,94-101 Patient age and comorbidities are important factors when considering surgical treatment for patients with ATCCS.19,22,26,28-29,33,35,81,84,85.

AB - Class III medical evidence supports the aggressive medical management including ICU care of all patients with a spinal cord injury, including those with ATCCS. Class III medical evidence suggests that surgery for ATCCS is safe and appears to be efficacious (in conjunction with medical management) for patients with focal cord compression, or to provide operative reduction and internal fixation and fusion of cervical spinal fracture dislocation injuries. The role of surgery for patients with ATCCS with long segment cord compression/injury or with spinal stenosis without bony injury remains a subject of debate in the literature. 19,23,26,27,31,37,38,81,94-101 Patient age and comorbidities are important factors when considering surgical treatment for patients with ATCCS.19,22,26,28-29,33,35,81,84,85.

KW - Central cord syndrome

KW - Chronic central spinal cord syndrome

KW - Spinal cord injury

KW - Variable neurological recovery

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Management of acute traumatic central cord syndrome (ATCCS)

Abstract

Keywords

ASJC Scopus subject areas

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