Early expansive single sided laminoplasty decompression treatment severe traumatic cervical spinal cord injury

This study investigates how early surgical decompression affects recovery after severe traumatic cervical spinal cord injury (tcSCI). The goal was to see if performing a laminoplasty (a surgery to create more space for the spinal cord) soon after the injury could improve neurological outcomes. The study reviewed data from 83 patients who had a laminoplasty within 24 hours of their tcSCI. Researchers looked at how well patients recovered their neurological function based on standard scoring systems. The results suggested that early laminoplasty decompression may lead to better neurological outcomes, especially for patients who also had cervical spinal stenosis (narrowing of the spinal canal).

• 1
  A significant improvement in neurological function was observed in patients undergoing early extensive decompression by laminoplasty.
• 2
  An improvement of at least one and two AIS grades was found in 90.4% and 49.4% patients, respectively, at the final follow-up visit.
• 3
  MRI showed a significant decrease in the intramedullary lesion length (IMLL) after surgery, indicating reduced spinal cord edema.