Clinical Influence of Cervical Spinal Canal Stenosis on Neurological Outcome After Traumatic Cervical Spinal Cord Injury Without Major Fracture or Dislocation

Overview

Journal Asian Spine J

Date 2016 Jun 25

PMID 27340535

Citations 12

Authors

Tsuneaki Takao

Seiji Okada

Yuichiro Morishita

Takeshi Maeda

Kensuke Kubota

Ryosuke Ideta

Eiji Mori

Itaru Yugue

Osamu Kawano

Hiroaki Sakai

Takayoshi Ueta

Keiichiro Shiba

Affiliations

Soon will be listed here.

Abstract

Study Design: Retrospective case series.

Purpose: To clarify the influence of cervical spinal canal stenosis (CSCS) on neurological functional recovery after traumatic cervical spinal cord injury (CSCI) without major fracture or dislocation.

Overview Of Literature: The biomechanical etiology of traumatic CSCI remains under discussion and its relationship with CSCS is one of the most controversial issues in the clinical management of traumatic CSCI.

Methods: To obtain a relatively uniform background, patients non-surgically treated for an acute C3-4 level CSCI without major fracture or dislocation were selected. We analyzed 58 subjects with traumatic CSCI using T2-weighted mid-sagittal magnetic resonance imaging. The sagittal diameter of the cerebrospinal fluid (CSF) column, degree of canal stenosis, and neurologic outcomes in motor function, including improvement rate, were assessed.

Results: There were no significant relationships between sagittal diameter of the CSF column at the C3-4 segment and their American Spinal Injury Association motor scores at both admission and discharge. Moreover, no significant relationships were observed between the sagittal diameter of the CSF column at the C3-4 segment and their neurological recovery during the following period.

Conclusions: No relationships between pre-existing CSCS and neurological outcomes were evident after traumatic CSCI. These results suggest that decompression surgery might not be recommended for traumatic CSCI without major fracture or dislocation despite pre-existing CSCS.

Citing Articles

Case characteristics and surgical efficacy in elderly patients over 65 years of age with cervical spinal cord injury without fracture and dislocation: a retrospective study.

Feng N, Xu L, Yu X, Guan J, Zhao H, Li W BMC Musculoskelet Disord. 2024; 25(1):921.

PMID: 39558208 PMC: 11572247. DOI: 10.1186/s12891-024-08055-z.

Management of Cervical Spinal Cord Injury without Major Bone Injury in Adults.

Nakajima H, Honjoh K, Watanabe S, Takahashi A, Kubota A, Matsumine A J Clin Med. 2023; 12(21).

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Efficacy of surgical treatment and conservative treatment for cervical spinal cord injury without fracture and dislocation in adults: A meta-analysis.

Chen D, Chen H, Huang F Medicine (Baltimore). 2023; 102(33):e34892.

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Role of magnetic resonance imaging features in diagnosing and localization of disc rupture related to cervical spinal cord injury without radiographic abnormalities.

Liao W, Sun B, Wu J, Zhang N, Zhou R, Huang S Spinal Cord. 2023; 61(6):323-329.

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Spinal cord injuries in the absence of post-traumatic radiographic anomalies (SCIWORA): the traumatic moment between patient anterior state and efficient/concurrent causes of injury.

Basile G, Fozzato S, Petrucci Q, Gallina M, Accetta R, Passeri A Acta Biomed. 2023; 94(1):e2023066.

PMID: 36786248 PMC: 9987477. DOI: 10.23750/abm.v94i1.14146.

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