ReviewSpinal cord series and cases2019
Late-onset "white cord syndrome" in an elderly patient after posterior cervical decompression and fusion: a case report.
Review in Spinal cord series and cases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 30 citations in OpenAlex.
- "White Cord Syndrome": A Reperfusion Injury Following Laminectomy and Spinal Decompression Surgery-A Case Report and Literature Review.Case reports in medicine · 2026Article
- White cord syndrome: a rare and challenging diagnosis. Illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Article
- White cord syndrome: A rare complication of adequate spinal cord decompression. A case report and review of current literature.Brain & spine · 2025Review
- Reperfusion injury case following cervical fusion with OPLL: a case report and literature review.Journal of medical case reports · 2024Review
- White Cord Syndrome Following Long Posterior Decompression.Journal of orthopaedic case reports · 2024Article
- Article
- Time varying characteristic in somatosensory evoked potentials as a biomarker of spinal cord ischemic-reperfusion injury in rat.Frontiers in neuroscience · 2024Article
- Blood-spinal cord barrier disruption in degenerative cervical myelopathy.Fluids and barriers of the CNS · 2023Review
- White Cord Syndrome: A Treatment Dilemma.Cureus · 2023Article
- White Cord Syndrome: A Reperfusion Injury Following Spinal Decompression Surgery.Korean journal of neurotrauma · 2022Article
- Article
- Article
- Delayed-onset white cord syndrome after anterior and posterior cervical decompression surgery for symptomatic ossification of spinal ligaments: illustrative cases.Journal of neurosurgery. Case lessons · 2021Article
- Misdiagnosis of "White Cord Syndrome" following posterior cervical surgery for ossification of the posterior longitudinal ligament: A case report.Surgical neurology international · 2021Article
- White cord syndrome in a pediatric patient: A case report and review.Radiology case reports · 2020Article
- 'White cord syndrome', a rare but disastrous complication of transient paralysis after posterior cervical decompression for severe cervical spondylotic myelopathy and spinal stenosis: A case report.Experimental and therapeutic medicine · 2020Article
- "White Cord Syndrome" of Acute Tetraplegia after Posterior Cervical Decompression and Resulting Hypoxic Brain Injury.Asian journal of neurosurgeryArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: In 2013, a rare early complication following cervical decompression the so-called "white cord syndrome" (WCS) was described for first time. This designation was given on the basis of the postoperative appearance of intramedullary hypertense areas in T2-MRI, resulting in devastating neurological damage. To our knowledge, only three cases of WCS have been published; we hereby present the fourth case, but the first one with late-onset presentation of this syndrome. Case presentation: A 79-year-old male patient with Nurick grade 3 CSM was referred to our institution. He had already had a double-level C4-C6 anterior cervical decompression and fusion (ACDF) 2 years ago in another institution. The patient underwent posterior decompression from C3 to C6 plus C2-C7 lateral mass screw fusion. Within the first 24 h following surgery, he gradually developed C6 incomplete paraplegia (ASIA B). Cervical MRI disclosed a hypertensive signal in T2-weighted sequences at C6-C7 levels and the diagnosis of WCS was suspected. Revision surgery was made 30 h following our first surgery, with wider posterior decompression accompanied by intravenous methylprednisolone. The patient's neurologic status was improved, but the final neurologic outcome was worse (Nurick 4) than the preoperative status and subsequently did not change at all. Discussion: To the best of our knowledge, this is the first report of a late-onset WCS and the fourth case of WCS per se. Spine surgeons should be aware of this rare but serious complication. We highlight possible risk factors and review the literature on the hypotheses about the pathophysiology of WCS.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.