Secondary injury following initial spinal cord trauma is uncommon and frequently attributed to mismanagement of an unprotected cord in the acute time period after injury. Subacute posttraumatic ascending myelopathy (SPAM) is a rare occurrence in the days to weeks following an initial spinal cord injury that is unrelated to manipulation of an unprotected cord and involves 4 or more vertebral levels above the original injury. The authors present a case of SPAM occurring in a 15-year-old boy who sustained a T3–4 fracture-dislocation resulting in a complete spinal cord injury, and they highlight the imaging findings and optimum treatment for this rare event.
Address correspondence to: Eric M. Horn, M.D., Ph.D., Goodman Campbell Brain and Spine, Department of Neurological Surgery, Indiana University School of Medicine, 355 W. 16th St., Ste. 5100, Indianapolis, IN 46202. email: email@example.com.
Please include this information when citing this paper: published online June 6, 2014; DOI: 10.3171/2014.5.SPINE13754.
Al-GhatanyM, , Al-ShraimM, , LeviAD, & MidhaR: Pathological features including apoptosis in subacute posttraumatic ascending myelopathy. Case report and review of the literature. J Neurosurg Spine2:619–623, 2005
Al-GhatanyM, Al-ShraimM, LeviAD, MidhaR: Pathological features including apoptosis in subacute posttraumatic ascending myelopathy. Case report and review of the literature. J Neurosurg Spine2:619–623, 2005)| false