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 journalArticle

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 languageEnglish (US)
Pages (from-to)195-204
Number of pages10
JournalNeurosurgery
Volume72
Issue numberSUPPL.2
DOIs
StatePublished - Mar 2013

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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  • Cite this

    Aarabi, B., Hadley, M. N., Dhall, S. S., Gelb, D. E., John Hurlbert, R., Rozzelle, C. J., Ryken, T. C., Theodore, N., & Walters, B. C. (2013). Management of acute traumatic central cord syndrome (ATCCS). Neurosurgery, 72(SUPPL.2), 195-204. https://doi.org/10.1227/NEU.0b013e318276f64b