The Spine Journal
Volume 6, Issue 6, Supplement , Pages S198-S206, November 2006

Central cord injury: pathophysiology, management, and outcomes

Department of Neurosurgery, Jefferson Medical College, 909 Walnut St., 2nd Floor, Philadelphia, PA 19107, USA

Abstract 

Background context

Cervical spinal trauma can result in a heterogeneous collection of spinal cord injury syndromes. Acute traumatic central cord syndrome is a common category of which no uniform consensus on the etiology, pathophysiology, and treatment exists.

Purpose

To evaluate and review potential pathophysiology, current treatment options, and management of central cord injuries.

Study design

Comprehensive literature review and clinical experience.

Methods

A systematic review of Medline for articles related to central cord and spinal cord injury was conducted up to and including journal articles published in September 2005.

Conclusions

Central cord injuries is a clinical definition which is composed of a heterogeneous population for which medical management and surgical decompression and stabilization provide improved neurologic recovery.

Keywords: Spinal cord injury, Central cord syndrome, Trauma, Spondylosis, Quadriparesis, Cervical

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 FDA device/drug status: not applicable.Nothing of value received from a commercial entity related to this manuscript.

PII: S1529-9430(06)00194-X

doi:10.1016/j.spinee.2006.04.006

The Spine Journal
Volume 6, Issue 6, Supplement , Pages S198-S206, November 2006