Comparing Early and Delayed Surgery for Traumatic Spinal Cord Injury in Adults 18 to 60 Years

What this Trial Is About

Researchers are evaluating the effects of early versus delayed surgical decompression in patients with traumatic spinal cord injury at a tertiary care hospital. This study addresses the conflicting evidence about the timing of surgery, especially focusing on the local population where data is limited. The goal is to determine which timing leads to better clinical outcomes and reduced morbidity among patients with acute spinal cord injury. The study compares two procedures early surgical decompression performed within 24 hours of injury for patients presenting promptly, and delayed surgical decompression performed after 24 hours due to medical reasons or logistical delays. Both approaches are currently used in practice, and this study aims to systematically assess their impact on recovery. Participants will be monitored for at least 12 weeks after surgery, during which neurological improvement will be measured using the ASIA Impairment Scale AIS. The study will involve clinical evaluations, and data will be collected to compare outcomes between the two groups. The findings will help guide future surgical decisions for patients with acute traumatic spinal cord injury in the local setting.

DELAYED VERSUS EARLY SURGICAL DECOMPRESSION FOR TRAUMATIC SPINAL CORD INJURY