ReviewSurgical neurology international2025
Updated review of cervical white cord syndrome (WCS)/reperfusion injury (RI); A "diagnosis of inclusion" requiring magnetic resonance (MR) confirmation, not just a "clinical diagnosis".
Review in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
2 authors.
Funding
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Abstract
Background: The Cervical White Cord Syndrome (WCS)/Reperfusion Injury (RI) rarely causes new major postoperative neurological deficits, and is attributed to the rapid surgical decompression of a chronically compressed/ischemic cord. Never a diagnosis based on "clinical judgment" alone, the WCS/RI is a Methods: Most frequently, postoperative MR studies in newly paretic/injured patients following cervical operations will show evidence of direct intraoperative ("iatrogenic") spinal cord injury. Less frequently, findings may include new non-operative vs. operative pathology (i.e., hematomas/hematomyelia, graft extrusions/malpositioning, new/residual/recurrent disc/stenosis/Ossification of the Posterior Longitudinal Ligament (OPLL), and other pathology). Results: WCS/RI after cervical spine surgery is extremely rare, being reported in only 17 cases as of 2020, and cannot be diagnosed based on "clinical judgment" alone; rather, it requires a STAT corroborate postoperative MR to demonstrate the classical "white cord". However, most likely postoperative MR studies document "iatrogenic" cord injuries, and less likely show new non-surgical and/or new surgical compressive pathology warranting reoperations to remediate the extent/severity of neurological injuries. Conclusion: The postoperative diagnosis of WCS/RI should never be established based on "clinical judgment alone". Rather, WCS/RI is a
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