{"id":"https://openalex.org/W3211916552","doi":"https://doi.org/10.1055/s-0041-1735858","title":"Pros and Cons of Early and Very Early Surgery for Traumatic Central Cord Syndrome with Spinal Stenosis: Literature Review and Case Report","display_name":"Pros and Cons of Early and Very Early Surgery for Traumatic Central Cord Syndrome with Spinal Stenosis: Literature Review and Case Report","publication_year":2021,"publication_date":"2021-11-15","ids":{"openalex":"https://openalex.org/W3211916552","doi":"https://doi.org/10.1055/s-0041-1735858","mag":"3211916552","pmid":"https://pubmed.ncbi.nlm.nih.gov/34781407"},"language":"en","primary_location":{"id":"doi:10.1055/s-0041-1735858","doi":"https://doi.org/10.1055/s-0041-1735858","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0041-1735858","pdf_url":null,"source":{"id":"https://openalex.org/S4210208255","display_name":"Journal of Neurological Surgery Part A Central European Neurosurgery","issn_l":"2193-6315","issn":["2193-6315","2193-6323"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurological Surgery Part A: Central European Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Gerhard Hildebrandt","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799884508","display_name":"Kantonsspital St. Gallen","ror":"https://ror.org/00gpmb873","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2799884508"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Gerhard Hildebrandt","raw_affiliation_strings":["Department of Neurosurgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland","institution_ids":["https://openalex.org/I2799884508"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000294722","display_name":"Holger Joswig","orcid":"https://orcid.org/0000-0003-3540-3910","observed_orcids":["https://orcid.org/0000-0003-3540-3910"]},"institutions":[{"id":"https://openalex.org/I4210158175","display_name":"Klinikum Ernst von Bergmann","ror":"https://ror.org/04zpjj182","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210158175"]},{"id":"https://openalex.org/I4392021211","display_name":"HMU Health and Medical University","ror":"https://ror.org/02xstm723","country_code":"DE","type":"education","lineage":["https://openalex.org/I4392021211"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Holger Joswig","raw_affiliation_strings":["Division of Neurosurgery, HMU Health and Medical University Potsdam, Ernst von Bergmann Hospital, Potsdam, Brandenburg, Germany"],"raw_orcid":"https://orcid.org/0000-0003-3540-3910","affiliations":[{"raw_affiliation_string":"Division of Neurosurgery, HMU Health and Medical University Potsdam, Ernst von Bergmann Hospital, Potsdam, Brandenburg, Germany","institution_ids":["https://openalex.org/I4210158175","https://openalex.org/I4392021211"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073987272","display_name":"Martin  Nikolaus Stienen","orcid":"https://orcid.org/0000-0002-6417-1787","observed_orcids":["https://orcid.org/0000-0002-6417-1787"]},"institutions":[{"id":"https://openalex.org/I2799884508","display_name":"Kantonsspital St. Gallen","ror":"https://ror.org/00gpmb873","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2799884508"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Martin Nikolaus Stienen","raw_affiliation_strings":["Department of Neurosurgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland","institution_ids":["https://openalex.org/I2799884508"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5066031942","display_name":"Denis Bratelj","orcid":"https://orcid.org/0000-0003-2608-0662","observed_orcids":["https://orcid.org/0000-0003-2608-0662"]},"institutions":[{"id":"https://openalex.org/I4210119191","display_name":"Swiss Paraplegic Center","ror":"https://ror.org/01spwt212","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I4210119191"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Denis Bratelj","raw_affiliation_strings":["Department of Spine Surgery, Swiss Paraplegic Centre, Nottwil, LU, Switzerland"],"raw_orcid":"https://orcid.org/0000-0003-2608-0662","affiliations":[{"raw_affiliation_string":"Department of Spine Surgery, Swiss Paraplegic Centre, Nottwil, LU, Switzerland","institution_ids":["https://openalex.org/I4210119191"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5000294722"],"corresponding_institution_ids":["https://openalex.org/I4210158175","https://openalex.org/I4392021211"],"apc_list":null,"apc_paid":null,"fwci":1.1931,"has_fulltext":false,"cited_by_count":10,"citation_normalized_percentile":{"value":0.77617585,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"83","issue":"01","first_page":"057","last_page":"065"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10925","display_name":"Spinal Cord Injury Research","score":0.9746000170707703,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10925","display_name":"Spinal Cord Injury Research","score":0.9746000170707703,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.01590000092983246,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.004999999888241291,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spinal-stenosis","display_name":"spinal stenosis","score":0.9120000004768372},{"id":"https://openalex.org/keywords/cervical-spinal-stenosis","display_name":"cervical stenosis","score":0.8190000057220459},{"id":"https://openalex.org/keywords/early-surgical-intervention","display_name":"early surgical intervention","score":0.621999979019165},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.6690000295639038},{"id":"https://openalex.org/keywords/cervical-spinal-cord-injury","display_name":"cervical spinal cord injury","score":0.9670000076293945},{"id":"https://openalex.org/keywords/secondary-injury-mechanisms","display_name":"secondary injury mechanisms","score":0.550000011920929},{"id":"https://openalex.org/keywords/functional-decline","display_name":"functional decline","score":0.8450000286102295},{"id":"https://openalex.org/keywords/neuropathic-pain","display_name":"neuropathic pain","score":0.906000018119812},{"id":"https://openalex.org/keywords/timing-of-surgery","display_name":"timing of surgery","score":0.3880000114440918}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9228794574737549},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.6704034805297852},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.621329128742218},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.5602684020996094},{"id":"https://openalex.org/C2780904754","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative management","level":2,"score":0.5166854858398438},{"id":"https://openalex.org/C2778334475","wikidata":"https://www.wikidata.org/wiki/Q1415275","display_name":"Spinal cord injury","level":3,"score":0.4632016718387604},{"id":"https://openalex.org/C2780175798","wikidata":"https://www.wikidata.org/wiki/Q1478321","display_name":"Spinal stenosis","level":3,"score":0.42899972200393677},{"id":"https://openalex.org/C3019396726","wikidata":"https://www.wikidata.org/wiki/Q25104748","display_name":"Conservative treatment","level":2,"score":0.41183558106422424},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.19195112586021423},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002574","descriptor_name":"Cervical Vertebrae","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013119","descriptor_name":"Spinal Cord Injuries","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D013119","descriptor_name":"Spinal Cord Injuries","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D013130","descriptor_name":"Spinal Stenosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D020210","descriptor_name":"Central Cord Syndrome","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D020210","descriptor_name":"Central Cord Syndrome","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1055/s-0041-1735858","doi":"https://doi.org/10.1055/s-0041-1735858","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0041-1735858","pdf_url":null,"source":{"id":"https://openalex.org/S4210208255","display_name":"Journal of Neurological Surgery Part A Central European Neurosurgery","issn_l":"2193-6315","issn":["2193-6315","2193-6323"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Neurological Surgery Part A: Central European Neurosurgery","raw_type":"journal-article"},{"id":"pmid:34781407","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34781407","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of neurological surgery. Part A, Central European neurosurgery","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":79,"referenced_works":["https://openalex.org/W74495308","https://openalex.org/W89791638","https://openalex.org/W101559623","https://openalex.org/W182143914","https://openalex.org/W198260439","https://openalex.org/W204638127","https://openalex.org/W1438631693","https://openalex.org/W1572100921","https://openalex.org/W1580467581","https://openalex.org/W1833160953","https://openalex.org/W1864297526","https://openalex.org/W1964803639","https://openalex.org/W1967015916","https://openalex.org/W1967375751","https://openalex.org/W1967563029","https://openalex.org/W1976753753","https://openalex.org/W1977677505","https://openalex.org/W1983285239","https://openalex.org/W1983768216","https://openalex.org/W1984265555","https://openalex.org/W1985717812","https://openalex.org/W2001904328","https://openalex.org/W2007237404","https://openalex.org/W2011783212","https://openalex.org/W2012711675","https://openalex.org/W2013696218","https://openalex.org/W2015379496","https://openalex.org/W2017113424","https://openalex.org/W2017647449","https://openalex.org/W2018250475","https://openalex.org/W2021956285","https://openalex.org/W2028815903","https://openalex.org/W2029334156","https://openalex.org/W2049612836","https://openalex.org/W2063892492","https://openalex.org/W2070842658","https://openalex.org/W2071303079","https://openalex.org/W2073277628","https://openalex.org/W2074834108","https://openalex.org/W2076924441","https://openalex.org/W2079905366","https://openalex.org/W2082080530","https://openalex.org/W2082504014","https://openalex.org/W2082588771","https://openalex.org/W2086108839","https://openalex.org/W2091146400","https://openalex.org/W2099557967","https://openalex.org/W2106473809","https://openalex.org/W2108271601","https://openalex.org/W2114070167","https://openalex.org/W2130237776","https://openalex.org/W2137825761","https://openalex.org/W2147121195","https://openalex.org/W2150947082","https://openalex.org/W2160353065","https://openalex.org/W2161894577","https://openalex.org/W2166125615","https://openalex.org/W2168439991","https://openalex.org/W2172300618","https://openalex.org/W2227076240","https://openalex.org/W2288057907","https://openalex.org/W2302058070","https://openalex.org/W2325656159","https://openalex.org/W2336242951","https://openalex.org/W2344857626","https://openalex.org/W2360117167","https://openalex.org/W2413485295","https://openalex.org/W2546554350","https://openalex.org/W2554687606","https://openalex.org/W2726241695","https://openalex.org/W2774787610","https://openalex.org/W2797732082","https://openalex.org/W2895930955","https://openalex.org/W2964528465","https://openalex.org/W2968037752","https://openalex.org/W2982549855","https://openalex.org/W2986410039","https://openalex.org/W3007765454","https://openalex.org/W4245747723"],"related_works":["https://openalex.org/W4210360753","https://openalex.org/W4387157947","https://openalex.org/W2370840728","https://openalex.org/W2964528465","https://openalex.org/W2944789149","https://openalex.org/W2962932899","https://openalex.org/W2082080530","https://openalex.org/W2278650503","https://openalex.org/W4210341660","https://openalex.org/W2007237404"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,73,133],"case":[2,88],"of":[3,25,46,63,85,100,119,125,135,158],"a":[4,20,36,126],"69-year-old":[5],"patient":[6],"with":[7,15,48,65,104,146,167],"an":[8,86,95],"acute":[9,32],"traumatic":[10],"central":[11],"cord":[12,71,112],"syndrome":[13,129],"(ATCCS)":[14],"preexisting":[16,49,147,168],"spinal":[17,50,66,70,111,169],"stenosis":[18,67],"raised":[19],"discussion":[21],"over":[22],"the":[23,31,40,55,61,82,109,114,117,123,136],"question":[24],"conservative":[26],"versus":[27],"surgical":[28,44,141,156],"treatment":[29,142,157],"in":[30,113,143,165],"setting.":[33],"We":[34,53],"provide":[35],"literature":[37,56,137],"overview":[38],"on":[39],"management":[41,62,84],"(conservative":[42],"vs.":[43],"treatment)":[45],"ATCCS":[47,64,94,144,159],"stenosis.":[51,149,170],"METHODS:":[52],"reviewed":[54],"concerning":[57],"essential":[58],"concepts":[59],"for":[60],"and":[68,122,154],"cervical":[69,110,148],"injury.":[72],"data":[74],"retrieved":[75],"from":[76],"these":[77],"studies":[78],"were":[79],"applied":[80],"to":[81],"potential":[83],"illustrative":[87],"report.":[89],"RESULTS:":[90],"Not":[91],"rarely":[92],"has":[93],"unpredictable":[96],"neurologic":[97],"course":[98],"because":[99],"its":[101],"dynamic":[102],"character":[103],"secondary":[105],"injury":[106],"mechanisms":[107],"within":[108],"early":[115,140],"phase,":[116],"possibility":[118],"functional":[120],"deterioration,":[121],"appearance":[124],"neuropathic":[127],"pain":[128],"during":[130],"late":[131],"follow-up.":[132],"result":[134],"review":[138],"favors":[139],"patients":[145,166],"CONCLUSION:":[150],"Reluctance":[151],"toward":[152],"aggressive":[153],"timely":[155],"should":[160],"at":[161],"least":[162],"be":[163],"questioned":[164]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-11-22T00:00:00"}
