Elevated intraspinal pressure in traumatic spinal cord injury is a promising therapeutic target  

作　　者：Chao-Hua Yang Zheng-Xue Quan Gao-Ju Wang Tao He Zhi-Yu Chen Qiao-Chu Li Jin Yang Qing Wang 

机构地区：[1]Department of Orthopedics,The Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan Province,China [2]Department of Orthopedics,The First Affiliated Hospital of Chongqing Medical University,Chongqing,China

出　　处：《Neural Regeneration Research》2022年第8期1703-1710,共8页中国神经再生研究（英文版）

基　　金：supported by a grant from Chongqing Yingcai Plan Project,No.cstc2021ycjh-bgzxm0041(to ZXQ).

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.

关 键 词：blood-spinal cord barrier DECOMPRESSION DURAPLASTY durotomy EDEMA hemorrhage intraspinal pressure MYELOTOMY spinal cord injury therapeutic target 

分 类 号：R651.2[医药卫生—外科学]