Spinal Cord Series and Cases, 2015 · DOI: 10.1038/scsandc.2015.13 · Published: October 8, 2015
Syringomyelia involves the formation of a cavity within the spinal cord, potentially leading to neurological decline. This condition can arise from spinal cord injuries, with post-traumatic syringomyelia (PTS) being a specific type. The study analyzes patients with traumatic spinal cord injuries who developed PTS and experienced a recurrence of symptomatic syrinx even after surgical interventions aimed at addressing the initial syrinx. The research investigates potential risk factors, the severity of the initial spinal cord injury (ASIA level), the time frame between the initial injury and recurrence, the types of surgical procedures performed, and the resulting neurological outcomes.
Further research is needed to identify modifiable risk factors that can minimize the chance of developing PTS. This may involve routine screening for patients at increased risk.
Close monitoring of strength within the first 5 years post-injury is crucial, as this is when PTS is most likely to develop. This can aid in early diagnosis and intervention.
The study highlights that surgical intervention for recurrent PTS may not lead to neurological recovery, suggesting a need for alternative or adjunctive treatment strategies.