Spinal cord compression

Naresh Patel, Christopher A. Payne, Bhavesh M. Patel

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The spine functions to carry loads and to allow a wide range of motion while protecting the spinal cord. Spinal cord compression may result from a number of pathological processes and is often a medical emergency, which may result in devastating outcomes such as permanent disability and even death. In developed countries, traumatic spinal cord injury (TSCI) occurs predominantly in males aged 18-32 years with a second peak occurring among males and females aged over 65 years. Although the reporting of nontraumatic spinal cord injury (NTSCI) is not well documented, the overall incidence of NTSCI is also expected to increase as the population ages. This chapter discusses the causes of spinal compression due to tumor, infection, degenerative disease, and trauma and the management of the conditions. The guiding principle for treatment is decompression of the spinal cord with appropriate stabilization before irreversible neurological damage occurs. Modalities for treatment include surgery, radiation, minimally invasive percutaneous procedures, and pharmacological therapy. The time period within which a compressed spinal cord must be decompressed depends on the etiology of the compression. Symptomatic spinal cord compression due to tumor and infection, as well as acute trauma, should prompt urgent neurosurgical consultation, and the implementation of treatment should be sought ideally within 24 hours of presentation. Chronic cord compression due to degenerative disease, however, does not appear to require immediate aggressive management with treatment usually initiated based on progression of symptoms.

Original languageEnglish (US)
Title of host publicationEvidence-Based Neurology
Subtitle of host publicationManagement of Neurological Disorders: Second Edition
PublisherWiley-Blackwell
Pages67-74
Number of pages8
ISBN (Electronic)9781119067344
ISBN (Print)9780470657782
DOIs
StatePublished - Dec 11 2015

Fingerprint

Spinal Cord Compression
Spinal Cord Injuries
Spinal Cord
Therapeutics
Minimally Invasive Surgical Procedures
Wounds and Injuries
Pathologic Processes
Disease Management
Articular Range of Motion
Decompression
Infection
Developed Countries
Neoplasms
Spine
Emergencies
Referral and Consultation
Pharmacology
Radiation
Incidence
Population

Keywords

  • Cervical spondylotic myelopathy
  • Epidural abscess
  • Metastatic spinal cord compression
  • Spinal cord compression
  • Spinal infection
  • Spondylodiscitis
  • Traumatic spinal cord injury

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Patel, N., Payne, C. A., & Patel, B. M. (2015). Spinal cord compression. In Evidence-Based Neurology: Management of Neurological Disorders: Second Edition (pp. 67-74). Wiley-Blackwell. https://doi.org/10.1002/9781119067344.ch7

Spinal cord compression. / Patel, Naresh; Payne, Christopher A.; Patel, Bhavesh M.

Evidence-Based Neurology: Management of Neurological Disorders: Second Edition. Wiley-Blackwell, 2015. p. 67-74.

Research output: Chapter in Book/Report/Conference proceedingChapter

Patel, N, Payne, CA & Patel, BM 2015, Spinal cord compression. in Evidence-Based Neurology: Management of Neurological Disorders: Second Edition. Wiley-Blackwell, pp. 67-74. https://doi.org/10.1002/9781119067344.ch7
Patel N, Payne CA, Patel BM. Spinal cord compression. In Evidence-Based Neurology: Management of Neurological Disorders: Second Edition. Wiley-Blackwell. 2015. p. 67-74 https://doi.org/10.1002/9781119067344.ch7
Patel, Naresh ; Payne, Christopher A. ; Patel, Bhavesh M. / Spinal cord compression. Evidence-Based Neurology: Management of Neurological Disorders: Second Edition. Wiley-Blackwell, 2015. pp. 67-74
@inbook{a221249db3664924b517ff4f81b9816b,
title = "Spinal cord compression",
abstract = "The spine functions to carry loads and to allow a wide range of motion while protecting the spinal cord. Spinal cord compression may result from a number of pathological processes and is often a medical emergency, which may result in devastating outcomes such as permanent disability and even death. In developed countries, traumatic spinal cord injury (TSCI) occurs predominantly in males aged 18-32 years with a second peak occurring among males and females aged over 65 years. Although the reporting of nontraumatic spinal cord injury (NTSCI) is not well documented, the overall incidence of NTSCI is also expected to increase as the population ages. This chapter discusses the causes of spinal compression due to tumor, infection, degenerative disease, and trauma and the management of the conditions. The guiding principle for treatment is decompression of the spinal cord with appropriate stabilization before irreversible neurological damage occurs. Modalities for treatment include surgery, radiation, minimally invasive percutaneous procedures, and pharmacological therapy. The time period within which a compressed spinal cord must be decompressed depends on the etiology of the compression. Symptomatic spinal cord compression due to tumor and infection, as well as acute trauma, should prompt urgent neurosurgical consultation, and the implementation of treatment should be sought ideally within 24 hours of presentation. Chronic cord compression due to degenerative disease, however, does not appear to require immediate aggressive management with treatment usually initiated based on progression of symptoms.",
keywords = "Cervical spondylotic myelopathy, Epidural abscess, Metastatic spinal cord compression, Spinal cord compression, Spinal infection, Spondylodiscitis, Traumatic spinal cord injury",
author = "Naresh Patel and Payne, {Christopher A.} and Patel, {Bhavesh M.}",
year = "2015",
month = "12",
day = "11",
doi = "10.1002/9781119067344.ch7",
language = "English (US)",
isbn = "9780470657782",
pages = "67--74",
booktitle = "Evidence-Based Neurology",
publisher = "Wiley-Blackwell",
address = "United States",

}

TY - CHAP

T1 - Spinal cord compression

AU - Patel, Naresh

AU - Payne, Christopher A.

AU - Patel, Bhavesh M.

PY - 2015/12/11

Y1 - 2015/12/11

N2 - The spine functions to carry loads and to allow a wide range of motion while protecting the spinal cord. Spinal cord compression may result from a number of pathological processes and is often a medical emergency, which may result in devastating outcomes such as permanent disability and even death. In developed countries, traumatic spinal cord injury (TSCI) occurs predominantly in males aged 18-32 years with a second peak occurring among males and females aged over 65 years. Although the reporting of nontraumatic spinal cord injury (NTSCI) is not well documented, the overall incidence of NTSCI is also expected to increase as the population ages. This chapter discusses the causes of spinal compression due to tumor, infection, degenerative disease, and trauma and the management of the conditions. The guiding principle for treatment is decompression of the spinal cord with appropriate stabilization before irreversible neurological damage occurs. Modalities for treatment include surgery, radiation, minimally invasive percutaneous procedures, and pharmacological therapy. The time period within which a compressed spinal cord must be decompressed depends on the etiology of the compression. Symptomatic spinal cord compression due to tumor and infection, as well as acute trauma, should prompt urgent neurosurgical consultation, and the implementation of treatment should be sought ideally within 24 hours of presentation. Chronic cord compression due to degenerative disease, however, does not appear to require immediate aggressive management with treatment usually initiated based on progression of symptoms.

AB - The spine functions to carry loads and to allow a wide range of motion while protecting the spinal cord. Spinal cord compression may result from a number of pathological processes and is often a medical emergency, which may result in devastating outcomes such as permanent disability and even death. In developed countries, traumatic spinal cord injury (TSCI) occurs predominantly in males aged 18-32 years with a second peak occurring among males and females aged over 65 years. Although the reporting of nontraumatic spinal cord injury (NTSCI) is not well documented, the overall incidence of NTSCI is also expected to increase as the population ages. This chapter discusses the causes of spinal compression due to tumor, infection, degenerative disease, and trauma and the management of the conditions. The guiding principle for treatment is decompression of the spinal cord with appropriate stabilization before irreversible neurological damage occurs. Modalities for treatment include surgery, radiation, minimally invasive percutaneous procedures, and pharmacological therapy. The time period within which a compressed spinal cord must be decompressed depends on the etiology of the compression. Symptomatic spinal cord compression due to tumor and infection, as well as acute trauma, should prompt urgent neurosurgical consultation, and the implementation of treatment should be sought ideally within 24 hours of presentation. Chronic cord compression due to degenerative disease, however, does not appear to require immediate aggressive management with treatment usually initiated based on progression of symptoms.

KW - Cervical spondylotic myelopathy

KW - Epidural abscess

KW - Metastatic spinal cord compression

KW - Spinal cord compression

KW - Spinal infection

KW - Spondylodiscitis

KW - Traumatic spinal cord injury

UR - http://www.scopus.com/inward/record.url?scp=85017989699&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017989699&partnerID=8YFLogxK

U2 - 10.1002/9781119067344.ch7

DO - 10.1002/9781119067344.ch7

M3 - Chapter

AN - SCOPUS:85017989699

SN - 9780470657782

SP - 67

EP - 74

BT - Evidence-Based Neurology

PB - Wiley-Blackwell

ER -