Elevated intraspinal pressure in traumatic spinal cord injury is a promising therapeutic target
Chao-Hua Yang1
Zheng-Xue Quan2
Gao-Ju Wang3
Tao He2
Zhi-Yu Chen2
Qiao-Chu Li2
Jin Yang3
Qing Wang3
1.Department of Orthopedics,The Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan Province,China;Department of Orthopedics,The First Affiliated Hospital of Chongqing Medical University,Chongqing,China2.Department of Orthopedics,The First Affiliated Hospital of Chongqing Medical University,Chongqing,China3.Department of Orthopedics,The Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan Province,China
摘要：The currently recommended management for acute traumatic spinal cord injury aims to reduce the incidence of secondary injury and promote functional recovery. Elevated intraspinal pressure (ISP) likely plays an important role in the processes involved in secondary spinal cord injury, and should not be overlooked. However, the factors and detailed time course contributing to elevated ISP and its impact on pathophysiology after traumatic spinal cord injury have not been reviewed in the literature. Here, we review the etiology and progression of elevated ISP, as well as potential therapeutic measures that target elevated ISP. Elevated ISP is a time-dependent process that is mainly caused by hemorrhage, edema, and blood-spinal cord barrier destruction and peaks at 3 days after traumatic spinal cord injury. Duraplasty and hypertonic saline may be promising treatments for reducing ISP within this time window. Other potential treatments such as decompression, spinal cord incision, hemostasis, and methylprednisolone treatment require further validation.
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论文发表日期：2022-08-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：8( 1703-1710 )
英文信息