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

Research output: Contribution to journalArticlepeer-review

68 Citations (Scopus)


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 languageEnglish
Pages (from-to)435-441
Number of pages7
JournalSurgical Neurology
Issue number5
Publication statusPublished - Nov 1997
Externally publishedYes


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

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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