Cordectomy has been shown to be a useful procedure in the surgical treatment of syringomyelia. It can be used to manage spasticity, pain and improve neurological dysfunction. However, since it is an invasive procedure and irreversible, it is only considered when other options have been exhausted (Gautschi et al. 2011).
Two pre-post studies examined the spinal cordectomy procedure on individuals with syringomyelia post SCI. Ewelt et al. (2010) found that cordectomy resulted in stabilization and improvement of motor and sensory function in 14 out of 15 patients. The study also reported improvement in pain and spasticity following the procedure. No significant adverse events were reported. Gautschi et al. (2010) reported a significant improvement in the quality of life of individuals who underwent the cordectomy procedure and high levels of subjective satisfaction.
There is level 4 evidence (from one pre-post study: Ewelt et al. 2010) that cordectomy improves motor and sensory function post SCI-related syringomyelia.
There is level 4 evidence (from one pre-post study: Gautschi et al. 2010) that cordectomy improves quality of life of individuals post SCI-related syringomyelia.