Early detection of spinal cord compression: screening, clinical presentation, outcome and prognosis

Dalia Hasan Ali; Abdullah Ibrahim Alshafi; Eman Khalid Aljehani; Jehad Ali Alhilal; Yasir Yar Al Balushi; Ghazal Obaidallah Alkhuzaee; Mohammed Mamdouh Alenezi; Khadija Mohamed Aldallal; Marwan Mohammed Alanazi; Lama Mohammed Saleem

doi:10.18203/2394-6040.ijcmph20242260

Authors

Dalia Hasan Ali Department of Orthopedic, King Fahad General Hospital, Jeddah, Saudi Arabia
Abdullah Ibrahim Alshafi College of Medicine, King Khalid University, Abha, Saudi Arabia
Eman Khalid Aljehani Department of Neurology, Ministry of Health, Dhahran, Saudi Arabia
Jehad Ali Alhilal Department of Family Medicine-Aldanah PHC, Ministry of Health, Dammam, Saudi Arabia
Yasir Yar Al Balushi Department of Accident and Emergency, Salmaniya Medical Complex, Manama, Bahrain
Ghazal Obaidallah Alkhuzaee Department of Radiology, East Jeddah Hospital, Jeddah, Saudi Arabia
Mohammed Mamdouh Alenezi Department of Surgery, Al Adan Hospital, Hadiya, Kuwait
Khadija Mohamed Aldallal Department of Radiology, Salmaniya Medical Complex, Manama, Bahrain
Marwan Mohammed Alanazi Physical Therapy Department, Comprehensive Rehabilitation Center, Tabuk, Saudi Arabia
Lama Mohammed Saleem Department of Health Administration, King Fahad General Hospital, Jeddah, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20242260

Keywords:

SCC, Early detection, Neurological deficits, Risk stratification, Imaging techniques, Clinical surveillance, Prognosis

Abstract

Spinal cord compression (SCC) is a critical medical condition characterized by pressure on the spinal cord, which can lead to severe and potentially irreversible neurological damage if not promptly addressed. The causes of SCC are varied, including primary and metastatic tumors, traumatic injuries, degenerative diseases, and infections. Early detection of SCC is paramount for improving patient outcomes, minimizing risk of permanent deficits, and enhancing quality of life. This review examines etiology and clinical presentation of SCC, highlighting the significance of early screening and detection. Effective screening involves identifying high-risk individuals through risk stratification, utilizing advanced imaging techniques such as magnetic resonance imaging (MRI) and computed tomography (CT) scans, and maintaining clinical vigilance. Recognizing early symptoms, such as localized pain, neurological deficits, and autonomic dysfunction, is crucial for timely intervention. Prognosis of SCC improves significantly with early diagnosis and intervention. Treatment options include surgical decompression to relieve pressure, radiation therapy for tumor-related compression, and corticosteroids to reduce inflammation. Early intervention can prevent irreversible neurological damage and enhance recovery potential. Comprehensive rehabilitation, involving physical and occupational therapy, is critical for restoring function and improving quality of life.

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