[评估无骨折脱位型急性颈髓中央损伤的手术疗效]

[Appraise operative outcome for acute central cervical spinal cord injuries without fracture and dislocation].

作者信息

Jiang Jian-yuan, Ma Xin, Lü Fei-zhou, Xu Zheng-feng

机构信息

Department of Orthopedics, Spinal Surgery Center, Huashan Hospital, Fudan University, Shanghai 200040, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2007 Mar 15;45(6):376-8.

PMID:17537320

Abstract

OBJECTIVE

To evaluate the surgical outcome for acute central cervical spinal cord injuries without fracture and dislocation.

METHODS

A retrospective study was performed on 52 patients with acute central cervical cord injuries without fracture and dislocation from 2000 to 2005. All of patients underwent cervical anterior or posterior decompression, fusion and inter fixation. Spinal function was evaluated by ASIA (American Spinal Injury Association) guidelines. Pre- and post-operation ASIA scores were analyzed using liner correlation and regression. The neurological function was recorded during followed-up. The average follow-up was 29 months (range, 12 to 42).

RESULTS

After operation, the ASIA scores increased significantly (P<0.01). Finally, ASIA motor, pin pricking and light touching scores of the 41 patients were 91 +/- 7, 107 +/- 6 and 107 +/- 6 respectively.

CONCLUSION

Decompression and inter fixation for injured segment can make a stable and broad space for spinal cord, promoting early neurological recovery and long-term improvement.

摘要

目的

评估急性无骨折脱位型中央型颈髓损伤的手术疗效。

方法

对2000年至2005年收治的52例急性无骨折脱位型中央型颈髓损伤患者进行回顾性研究。所有患者均接受了颈椎前路或后路减压、融合及内固定手术。采用美国脊髓损伤协会（ASIA）指南评估脊髓功能。运用线性相关和回归分析术前及术后的ASIA评分。随访期间记录神经功能。平均随访时间为29个月（范围12至42个月）。