Benefits of Early Surgical Treatment for Patients with Multilevel Cervical Canal Stenosis of Acute Traumatic Central Cord Syndrome

This study investigates the best treatment approach for patients with acute traumatic central cord syndrome (ATCCS) and multilevel cervical canal stenosis (CCS). It compares conservative treatment, early surgery (within 7 days), and late surgery (after 7 days). The study found that patients who underwent early surgery had better clinical function and quality of life compared to those who received conservative treatment or late surgery. Early surgery is also cost-effective. Younger patients, those with a better initial ASIA grade, and those who had early surgery experienced better outcomes. The findings suggest that early surgical intervention is beneficial for this patient population.

• 1
  Patients who received early surgery (≤7 days) had significantly better ASIA grade, JOA score, and recovery rate compared to those who received conservative treatment or late surgery (>7 days).
• 2
  Early surgery was found to be cost-effective compared to conservative treatment, despite the higher initial cost.
• 3
  Younger age, better initial ASIA grade, and earlier surgery were associated with better prognosis in patients with ATCCS and multilevel CCS.