When is surgical decompression indicated in the treatment of spinal cord injury (SCI)?

Updated: Nov 01, 2018
  • Author: Lawrence S Chin, MD, FACS; Chief Editor: Brian H Kopell, MD  more...
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Answer

Emergent decompression of the spinal cord is suggested in the setting of acute spinal cord injury with progressive neurologic deterioration, facet dislocation, or bilateral locked facets. The procedure is also suggested in the setting of spinal nerve impingement with progressive radiculopathy, in patients with extradural lesions such as epidural hematomas or abscesses, and in the setting of the cauda equina syndrome.

See Treatment and Medication for more detail.


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