Jiménez ÁJM, Hyun JS, Ruelas RG, Ramírez GA, Santillán DM, Osuna CJC, Culebro FLA

Language: Spanish
References: 10
Page: 223-230
PDF size: 305.64 Kb.

ABSTRACT

Introduction: central cord syndrome (CCS), the most common spinal cord syndrome, is frequently caused by hyperextension of the cervical spine, primarily in individuals with preexisting spondylosis, these lesions result from compresión caused by osteophytes and hypertrophied ligamentum flavum, causing damage and necrosis of the spinal cord. Objective: the relationship between the presence of cervical spondylosis and the development of CCS secondary to spine trauma was identified. Material and methods: a retrospective and descriptive study was conducted at Centro Médico Nacional de Occidente in Mexico from 2023 to 2024, analyzing patients with cervical spondylosis and CCS secondary to cervical spine trauma. Results: CCS was more frequent in older males. The most common mechanism of injury was cervical hyperextension, which occurred in 60% of cases. All patients presented paresis or hypoesthesia of the upper limbs, with the most frequent imaging finding being disc protrusion, found in 93% of cases. The most common interventions were the anterior cervical instrumentation and hinge decompression, each accounting for 33%. Conclusion: the approach to CCS should consider its underlying cause and associated degenerative factors. The decision for surgical intervention in patients with CCS should be decided upon the location of the lesion, levels affected, and presence of lordosis, in addition to the surgeon's experience and patient´s expectations.

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