title: Diagnosis and treatment of acute central cervical cord injury.
abstract: OBJECTIVE
  To clarify the diagnosis and management of acute central cervical cord injury.
  
  
  METHODS
  Eighty-nine patients with acute cervical central cord injury were retrospectively reviewed. Sixty-three patients were treated conservatively and 26 were treated surgically. There were two acute deaths. Eighty-seven patients were followed up for 3 months to 15 years.
  
  
  RESULTS
  Their average neurological score (ASIA) was increased from 41.7 at admission to 83.1 at follow-up.
  
  
  CONCLUSIONS
  Acute central cervical cord injury should be differentiated from complete spinal cord injury, cervical myelopathy, cruciate paralysis and C8 nerve root injury. When compression of nerve tissue or cervical instability is identified, operative intervention should be indicated. The prognosis is less optimistic in the patients with severe primary injury and at old age.
authors.affiliation: Department of Orthopaedics, Changzheng Hospital, Shanghai, China.
authors.forename: L
authors.initials: L
authors.lastname: Dai
authors.forename: L
authors.initials: L
authors.lastname: Jia
authors.forename: B
authors.initials: B
authors.lastname: Ni
authors.forename: W
authors.initials: W
authors.lastname: Yuan
authors.forename: H
authors.initials: H
authors.lastname: Liu
authors.forename: T
authors.initials: T
authors.lastname: Hou
authors.forename: D
authors.initials: D
authors.lastname: Zhao
authors.forename: Y
authors.initials: Y
authors.lastname: Xu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck; D011379:Prognosis; D012189:Retrospective Studies; D013119:Spinal Cord Injuries / Q000145:classification / Q000175:diagnosis* / Q000601:surgery