Orthopaedic Surgery, 2025 · DOI: 10.1111/os.14319 · Published: January 1, 2025
Central cord syndrome (CCS) is a spinal cord injury causing motor weakness, and surgery can help recovery. Anterior controllable antedisplacement and fusion (ACAF) is a surgical technique that has worked for cervical diseases. This study looks at how ACAF works for CCS caused by hyperextension injuries. The study reviewed patients who had ACAF surgery for CCS between July 2021 and December 2022. They looked at x-rays, CT scans, and MRIs before and after surgery. They checked how well patients recovered using the ASIA grading system and JOA score. The study found that ACAF can be a good choice for treating CCS patients with hyperextension injury who also have cervical spondylosis and stenosis.
ACAF can be considered as a viable surgical option for patients suffering from CCS due to hyperextension injuries, especially when coupled with underlying cervical spondylosis and stenosis.
Surgeons can use the radiological parameters (TPR, HI, ISI) to assess the severity of the condition and plan the extent of decompression required during ACAF.
The study provides a basis for future comparative studies evaluating ACAF against other surgical techniques for CCS, and for larger, multi-center studies to validate these findings.