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However, determining the correct approach to ensure optimal clinical outcomes can be challenging and remains highly controversial. In particular, with the introduction of the concept of early decompression in brain pathology, the discussion of the timing of decompression in SCI has emerged. In addition to that, the concept of \u201ctime is spine\u201d has been added recently, and the mortality and complications caused by SCI have been reduced by providing timely and professional treatment to patients. However, there are many difficulties in establishing international clinical guidelines for the timing of early decompression in SCI because policies for each country and medical institution differ according to the circumstances of medical infrastructure and economic conditions in the surgical treatment of SCI. Therefore, we aim to provide a current review of timing of early decompression in patient with SCI.<\/jats:p>","DOI":"10.3340\/jkns.2022.0107","type":"journal-article","created":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T06:24:37Z","timestamp":1666592677000},"page":"6-11","update-policy":"https:\/\/doi.org\/10.3340\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Early Decompression in Acute Spinal Cord Injury : Review and Update"],"prefix":"10.3340","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4030-3618","authenticated-orcid":true,"given":"Byung-Jou","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4656-0113","authenticated-orcid":true,"given":"Je 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