AANS Online Scientific Sessions: Spine and Peripheral Nerve-Development Of A Prediction Model For Central Cord Syndrome: An Evaluation Of Motor Recovery And The Effectiveness Of Early Surgery in a Prospective, Multicentre Cohort of 211 Patients

Development Of A Prediction Model For Central Cord Syndrome: An Evaluation Of Motor Recovery And The Effectiveness Of Early Surgery in a Prospective, Multicentre Cohort of 211 Patients

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Video Transcription

Video Summary

The video discusses traumatic central cord syndrome (TCCS), which is the most common subtype of spinal cord injury. The speaker presents an analysis of 211 patients and introduces a novel clinical prediction tool for evaluating motor recovery. They also highlight the effectiveness of early surgical intervention within 24 hours in improving motor recovery. The evolving epidemiology of spinal cord injury is discussed, with an aging population and more fall-related injuries leading to an increased prevalence of TCCS. The classical understanding of TCCS is challenged, with new research revealing diffuse axonal damage rather than central hemorrhage. The speaker also addresses assumptions about the clinical course, safety of surgery, and the homogeneity of TCCS patients. They present data indicating similar outcomes between patients with TCCS and those with incomplete cervical cord injury. The benefits of early surgical intervention are highlighted based on data from multiple studies. The speaker concludes by introducing a clinical prediction model that incorporates age, severity of injury, baseline motor score, and timing of surgery to predict outcomes in TCCS. The model is expected to aid in patient counseling and clinical decision-making. The speaker acknowledges the co-authors and collaborators involved in the various studies mentioned.

Asset Subtitle

Michael G. Fehlings, MD, PhD, FAANS

Keywords

traumatic central cord syndrome

spinal cord injury

motor recovery

early surgical intervention

epidemiology of spinal cord injury