Posterior Cervical Decompression Techniques
Alexander R. Vaccaro in Fractures of the Cervical, Thoracic, and Lumbar Spine, 2002
I INTRODUCTION Cervical decompressive procedures (i.e., laminectomy, foraminotomy) are rarely indicated in the context of acute cervical trauma (1,2). Rare exceptions are patients with depressed laminar fractures and patients with multilevel spondylosis suffering hyperextension injuries with a resultant central cord syndrome (3-5).
Bilateral upper-extremity deep vein thrombosis following central cord syndrome
Published in The Journal of Spinal Cord Medicine, 2013
Hilal Onmez, Havva Turac Cingoz, Sami Kucuksen, Emel Anliacık, Ozan Yaşar, Halim Yilmaz, Ali Salli
Deep vein thrombosis (DVT) is a common complication following spinal cord injury (SCI). Although DVT of the upper extremity is much less common than DVT of the lower extremities, the risk of pulmonary embolism following upper-extremity DVT should not be disregarded. Method Case report. Findings A bilateral upper-extremity DVT developed in a 51-year-old woman with SCI (central cord syndrome) being followed in our rehabilitation clinic. Medical treatment resulted in improvement in the clinical status of the patient as well as the regression in the thrombus. Conclusion In patients with SCI, DVT should be kept in mind in the presence of pain and edema in the upper extremities, and prophylactic DVT treatment should be considered.
Systemic Lupus Erythematosus: A Unique Cause of Central Cord Syndrome, a Case Report
Published in The Journal of Spinal Cord Medicine, 2000
Richard D. Ramos, William L. Bockenek
Central cord syndrome has classically been defined by disproportionately more motor impairment of the upper than the lower extremities, bladder dysfunction, and varying degrees of sensory loss below the level of the lesion. Review of the literature indicates that the majority of causes of central cord syndrome have a traumatic etiology and few are a consequence of connective tissue disorders. This is a case of a 53-year-old female with systemic lupus erythematosus who developed central cord syndrome due to an exacerbation of her disease. The patient presented with upper extremity motor and sensory deficits but only sensory deficits of the lower extremities. She had laboratory abnormalities consistent with lupus, and magnetic resonance imaging of the cervical spine revealed decreased attenuation from C-1-T-2. High-dose intravenous steroids were started in the acute care hospital with some return of proximal upper extremity strength. Upon transfer to the acute rehabilitation unit, the patient was noted to have neurogenic bladder dysfunction requiring a catheterization program. The patient was slowly tapered down on her oral prednisone with minimal improvement of strength but with return of bladder function. A review of the literature revealed few cases of central cord syndrome secondary to a connective tissue disorder or a non-traumatic etiology.
Comparative biomechanical analysis of gait in patients with central cord and Brown-Séquard syndrome
Published in Disability and Rehabilitation, 2013
Angel Gil-Agudo, Soraya Pérez-Nombela, Enrique Pérez-Rizo, Antonio del Ama-Espinosa, Beatriz Crespo-Ruiz, José L. Pons
Purpose: This is a pilot study with the aim to highlight the use of kinematic and kinetic analyses as an adjunct to the assessment of individual patients with central cord syndrome (CCS) and hemisection or Brown-Séquard syndrome (BSS) and to discuss their possible consequences for clinical management. Methods: The sample studied consisted of 17 patients with CCS, 13 with BSS and 20 control subjects (control group (CG)). Data were obtained using a three-dimensional motion analysis system and two force plates. Gait differences were compared between CCS, BSS walking at a self-selected speed and CG at both a self-selected and a similar speed to that of the patient groups. Results: The most relevant findings involved the knee and ankle, especially in the sagittal plane. In patients with CCS, knee flexion at initial contact was increased with respect to those in the BSS group (p
Related Knowledge Centers
- Cervical Vertebrae
- Spinal Cord Injury
- Lesion
- Whiplash Injuries
- Gunshot Wounds
- Spinal Cord Injuries
- Acute