Asian Spine Journal, 2014 · DOI: 10.4184/asj.2014.8.2.183 · Published: April 1, 2014
This study investigates the effectiveness of surgical decompression in patients who present late with cervical spinal cord disorders. Often, in developing countries, patients arrive late for treatment due to various socioeconomic and infrastructural limitations. The research focuses on those patients who, due to unavoidable circumstances, present to medical facilities three months after the initial spinal cord injury. The study explores whether surgical decompression can still provide neurological benefits even when performed significantly after the initial injury, particularly in regions where delayed presentation is common.
Even in delayed presentation of cervical myelopathy, surgical decompression should be considered.
Anterior cervical plating should be used to minimize graft failure risk and ensure adequate stabilization.
Early mobilization and rehabilitation post-surgery can contribute to improved patient outcomes.