P.130 The natural history of central cord syndrome and the role of surgical intervention: a retrospective review from 2005-2010 Article Swipe
Ayoub Dakson
,
BM David
,
Ginette Thibault-Halman
,
Sean Christie
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1017/cjn.2016.229
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1017/cjn.2016.229
Background: The management of central cord syndrome (CCS) is controversial. There is a perception that CCS patients tend to improve without the need for surgical intervention. The purpose of this study was to compare the clinical improvements of patients with traumatic SCI, both with and without CCS. Methods: Nova Scotia Provincial Trauma Registry was retrospectively reviewed from 2005-2010. Improvement in the American Spinal Injury Association (ASIA) Impairment Scale (AIS) was determined after mean 5 months follow-up. Results: The study population comprised 96 cases with SCI, subdivided into cases with AIS grade A, non-CCS cases with AIS grades B-D and CCS cases. 88% of the non-CCS and 65% of the CCS patients underwent surgical decompression, with mean operative times being 71.6±137.8 and 102.9±144.6 post injury (p=0.45). The mean improvements in the mean ASIA motor scores for the three groups were 1.3±6.5 and 15.6±35.0 and 22.5±14.6 (p=0.004) respectively, with a statistically significant difference only between the CCS and AIS grade A groups (p<0.001). 20%, 54% and 10% of the patients respectively, underwent an improvement of ≥ one AIS grades (p=0.018, c 2 =8.0). Conclusions: This retrospective review investigates the natural history of CCS and explores the role of surgical intervention on optimizing patient outcome.
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Concepts
Metadata
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All OpenAlex metadata
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https://doi.org/10.1017/cjn.2016.229Digital Object Identifier
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P.130 The natural history of central cord syndrome and the role of surgical intervention: a retrospective review from 2005-2010Work title
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reviewOpenAlex work type
- Language
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enPrimary language
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2016Year of publication
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2016-06-01Full publication date if available
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Ayoub Dakson, BM David, Ginette Thibault-Halman, Sean ChristieList of authors in order
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https://doi.org/10.1017/cjn.2016.229Publisher landing page
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https://www.cambridge.org/core/services/aop-cambridge-core/content/view/39693D96FBB93B27157B1BD86189FB33/S0317167116002298a.pdf/div-class-title-p-130-the-natural-history-of-central-cord-syndrome-and-the-role-of-surgical-intervention-a-retrospective-review-from-2005-2010-div.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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Medicine, Natural history, Retrospective cohort study, Surgical decompression, Spinal cord injury, Surgery, Population, Decompression, Spinal cord, Internal medicine, Environmental health, PsychiatryTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(p=0.018, | 177 |
| abstract_inverted_index.(p=0.45). | 124 |
| abstract_inverted_index.comprised | 80 |
| abstract_inverted_index.operative | 116 |
| abstract_inverted_index.traumatic | 40 |
| abstract_inverted_index.underwent | 111, 169 |
| abstract_inverted_index.15.6±35.0 | 141 |
| abstract_inverted_index.2005-2010. | 57 |
| abstract_inverted_index.22.5±14.6 | 143 |
| abstract_inverted_index.Impairment | 66 |
| abstract_inverted_index.Provincial | 50 |
| abstract_inverted_index.determined | 70 |
| abstract_inverted_index.difference | 150 |
| abstract_inverted_index.follow-up. | 75 |
| abstract_inverted_index.management | 2 |
| abstract_inverted_index.optimizing | 199 |
| abstract_inverted_index.perception | 13 |
| abstract_inverted_index.population | 79 |
| abstract_inverted_index.subdivided | 85 |
| abstract_inverted_index.71.6±137.8 | 119 |
| abstract_inverted_index.Association | 64 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.Improvement | 58 |
| abstract_inverted_index.improvement | 171 |
| abstract_inverted_index.significant | 149 |
| abstract_inverted_index.102.9±144.6 | 121 |
| abstract_inverted_index.Conclusions: | 181 |
| abstract_inverted_index.improvements | 36, 127 |
| abstract_inverted_index.intervention | 197 |
| abstract_inverted_index.investigates | 185 |
| abstract_inverted_index.(p<0.001). | 160 |
| abstract_inverted_index.intervention. | 25 |
| abstract_inverted_index.respectively, | 145, 168 |
| abstract_inverted_index.retrospective | 183 |
| abstract_inverted_index.statistically | 148 |
| abstract_inverted_index.controversial. | 9 |
| abstract_inverted_index.decompression, | 113 |
| abstract_inverted_index.retrospectively | 54 |
| cited_by_percentile_year | |
| countries_distinct_count | 0 |
| institutions_distinct_count | 4 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.5899999737739563 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.08834697 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |