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. 2021 Jul 15;38(15):2073–2083. doi: 10.1089/neu.2021.0040

Table 4.

Comparison of Published Studies on the Effects of Timing of Decompression on AMS at Least 6 Months after tCSCI in Patients with ATCCS Caused by SSDOC Adjusted for Morphometric Neuroimaging, Surgical Technique, and the Extent of Decompression

Investigator year journal D Cohort Outcome SSDOC NO SSS MCC Level of MSCC # of MRI signal Surg. Tech. PO MRI IMLL Extent of DEC F/U m F/U m Effect of timing
Guest et al. 2002 J. Neurosurg. R 50 PSIMFS 24 NM NM NM NM Y NM NM NM 13 ≤24: 6
>24: 18
No effect
Lenehan et al. 2010 Spine (Phila PA 1976) R 73 AMS 73 NM NM NM NM Y NM NM NM 6 <24: 17
>24: 56
Early better
Aarabi et al. 2011 J. Neurosurg. Spine R 42 AMS 42 M Y Y NM Y Y Y NM 12 ≤24:9 24-48: 10 > 48: 23 No effect
Anderson et al. 2012 Am. J. Orthop. (Belle Mead NJ) R 69 AMS 31 NM NM NM NM Y NM NM NM ≥6 ≤24: 14 24-48: 30
>48: 25
No effect
Aarabi et al. 2021 J. Neurotrauma R 101 AMS 101 M Y Y Y Y Y Y Y ≥6 ≤24: 36 25-72:38 > 72: 27 No effect

AMS, American Spinal Injury Association (ASIA) motor score; tCSCI, traumatic cervical spinal cord injury; ATCCS, acute traumatic central cord syndrome; D, design; DEC, decompression; F/U, follow-up; IMLL, intramedullary lesion length; m, months, M, mentioned, MCC, maximum canal compromise; MSCC, maximum spinal cord compression; MRI, magnetic resonance imaging; NM, not mentioned; NO, number; SSS, spinal stenosis segments; PO, post-operative, PSIMFS, Post-Spinal Injury Motor Function Scale; R, retrospective; Surg. Tech., surgical technique, SSDOC, spinal stenosis disc/osteophyte complex; Y, yes,