Spinal Cord Injury Associated with Spinal Stenosis: Outcomes and Prognostic Features.

  • V. Nikolaou
  • M. E. Evangelopoulou
Keywords: spinal cord injury (SCI); spinal canal stenosis; lumbar spinal stenosis, cervical spinal stenosis.


Spinal cord injury (SCI) is gradually considered to be a health priority worldwide, due to its ever-growing occurrence in the recent years. When associated with spinal stenosis, it results in substantial pain and disability and becomes the most prevalent reason for spinal surgery in individuals exceeding the 50 years of age. The aim of this review is to examine and compare functional outcomes and define the prognostic features for patients suffering from spinal cord injury (SCI) associated with spinal stenosis. A search in PubMed, ScienceDirect, EMBASE and AMED was conducted, using keywords such as, “Spinal Cord injury” and “Spinal Stenosis”. Our literature research was completed in April 2022 and the review was carried out according to the guidelines of the PRISMA. 23 studies were included.  Approximately 7,900 patients were observed in 20 studies and a considerable number of those were followed for time period ranging from 1 to 4 years. Study’s outcomes indicate that best prognostic factors lie with patients suffering from incomplete CSCI without major fracture or pre-existing CSCS when undergoing early surgery. Age is a good prognostic factor. Studies are contradictory whether early surgical treatment determines positive outcomes.


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Author Biography

V. Nikolaou

Postgraduate Training Program, 3rd Department of Orthopaedic Surgery,

National and Kapodistrian University of Athens, KAT General Hospital of Athens, Greece.


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