Early surgical decompression within 8 hours for traumatic spinal cord injury: Is it beneficial? A meta-analysis

Dong Yeong Lee, Young Jin Park, Hyun Jung Kim, Hyeong Sik Ahn, Sun Chul Hwang, Dong Hee Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: The aim of this study is to evaluate whether early (<8 h) surgical decompression is better in improving neurologic outcomes than late (≥8 h) surgical decompression for traumatic spinal cord injury (tSCI). Methods: The various electronic databases were used to detect relevant articles published up until May 2016 that compared the outcomes of early versus late surgery for tSCI. Data searching, extraction, analysis, and quality assessment were performed according to Cochrane Collaboration guidelines. The results are presented as relative ratio (RR) for binary outcomes and mean difference (MD) for continuous outcomes with 95% confidence intervals (CIs). Results: Seven studies were finally included in this meta-analysis. There were significant differences between the 2 groups in neurologic improvement (MD = 0.54, 95% CI = −18.52 to −7.02, P < 0.0001) and length of hospital stay (MD = −12.77, 95% CI = 0.34–0.74, P < 0.00001). However, no significant differences were found between the 2 groups in perioperative complications (OR = 0.95, 95% CI = 0.35–2.61, P = 0.92). Conclusions: Early surgical decompression within 8 h after tSCI was beneficial in terms of neurologic improvement compared with late surgery. Early surgical decompression (within 8 h) is recommended for patients with tSCI. Level of evidence: Level III, therapeutic study.

Original languageEnglish
JournalActa Orthopaedica et Traumatologica Turcica
DOIs
Publication statusAccepted/In press - 2018 Jan 1

Keywords

  • Decompression
  • Meta-analysis
  • Spinal cord injuries
  • Timing of surgery

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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