Skip to main content
. 2022 Sep 11;34:102024. doi: 10.1016/j.jcot.2022.102024

Table 2.

Data extraction from original articles in the pre-clinical setting.

Citation Sample size LOI Pressure measure method Functional recovery assessment Key outcome measures
Griffiths et al. (1979) J Neurosurg Spine 12 L2 ISP Yes SCPP, SCBF, vascular resistance, SEPs
Key findings: Hypotension alone did not influence SCBF or SEPs. Compression combined with hypotension reduced both SCBF and evoked potentials. With compression, SCBF was maintained until a SCPP of ∼<70 mmHg. In the setting of cord compression, the cord will become ischemic once the autoregulatory limit is passed.
Horn et al. (2008) Neurosurg Focus 16 T9 ITP Yes ITP, MAP, SCBF, MEPs, CSF drainage, motor exams
Key findings: CSF can be drained via lumbar intrathecal catheter to reduce ITP in rabbits. CSF drainage reduced the area of tissue damage at the injury site but was not associated with functional recovery.
Batchelor et al. (2011) J Neurotrauma 15 (12 SCI, 3 control) T7 ISP Yes ISP, MAP, core temperature, behavioural assessment, histology
Key findings: Following SCI in a rodent model, ISP rapidly rises with progressive canal occlusion and is associated with neurological deterioration. Hypothermia rapidly reduces ISP and may be useful to aid decompression prior to surgery.
Leonard et al. (2013) J Neurotrauma 88 T10 ISP Yes ISP, histology, functional assessment, edema measurement
Key findings: Substance P mediates neurogenic inflammation and associated increased edema and ITP. Data implicate the aquaporin 4 water channel in development of edema in SCI. These may be potential therapeutic targets for future studies to limit inflammation and edema.
Soubeyrand et al. (2013) Eur Spine J 27 (17 SCI, 10 control) T10 ITP No ITP, MAP, SCBF
Key findings: SCI reduced SCBF and elevated ITP for up to 60 min following injury. The rodent model allows ITP and SCBF measurements following experimental SCI.
Martirosyan et al. (2015) Neurosurg 15 (12 SCI, 3 control) T5 ITP No ITP, MAP, CSF drainage, SCBF
Key findings: MAP elevation combined with CSF drainage increased SCBP 24%. MAP elevation or CSF drainage alone, did not.
Leonard et al. (2015) J Neurotrauma 66 T10 ISP No ISP, histology, edema measurement
Key findings: Elevated ISP (and reduced SCPP) is associated with both increases in hemorrhage and edema at varying time points. The initial rise in ISP was associated with hemorrhage while the later increase was due to increases tissue water content.
Khaing et al. (2017) J Neurotrauma 36 T7 ISP No ISP, MAP, SCPP
Key findings: ISP increases threefold in first 30 min following injury and remains elevated for up to seven days. In the first 24 h following SCI dural and pial linings contribute equally to the rise in ISP whereas after 72 h the dural lining is primarily responsible.

Abbreviations: CSF, cerebrospinal fluid pressure; L, lumbar spinal level; LOI, level of injury; MAP, mean arterial pressure; MEP, motor evoked potential; ISP, intraspinal pressure; ITP, intrathecal pressure; SCBF, spinal cord blood flow; SCI, spinal cord injury; SCPP, spinal cord perfusion pressure; SEP, sensory evoked potential; T, thoracic spinal level.