Acute Central Cervical Spinal Cord Injury (Upper Limbs Type)

Acute central cervical spinal cord injury (ACCSCI), as defined by Schneider is characterized by disproportionately more motor impairment of the upper rather than the lower extremities, bladder dysfunction, and varying degrees of sensory loss below the level of the lesion. 22 patients with ACCSCI (upper limbs type) after traumatic cervical cord injury are presented. We used a new quantitative estimation scale of both sensory and motor function. 21 patients who were treated conservatively had a good prognosis for neurologic and functional improvement. Younger age group made a quick and good recovery of both sensory and motor function when compared with older age group. A 56-year-old man with OPLL who developed delayed neurological dysfunction after good recovery underwent an anterior decompression and anterior fusion.