Department of Orthopaedic Surgery, Japan LHWO Spinal Injuries Center, Iizuka, Fukuoka, Japan.
Spinal Cord. 2010 Jul;48(7):548-53. doi: 10.1038/sc.2009.179. Epub 2010 Jan 12.
A multicenter prospective study comparing the neurological outcome of patients treated by surgical intervention versus conservative treatment for cervical spinal cord injury (CSCI) without bone and disc injury.
To evaluate the neurological outcome of decompression surgery for CSCI without bone and disc injury in patients with spinal cord compression with incomplete paralysis (AIS B, C).
The Japan LHWO Spinal Injuries Center and the other 10 labor accident hospitals in Japan.
Thirty-four patients with AIS B, C and cervical spinal cord compression were classified into either a surgical treatment group or a conservative treatment group. The 34 patients enrolled were equally divided between the groups. Patients with AIS B, C and mild spinal compression were enrolled into another group.
The neurological outcome of surgical treatment and conservative treatment for AIS B, C with spinal cord compression was found to be closely similar. In addition, the neurological outcome was also similar to that observed after conservative treatment for AIS B, C in patients presenting with mild spinal cord compression.
Surgical treatment was not found to be superior to conservative treatment for CSCI patients without bone and disc injury suffering from spinal cord compression in the acute phase.
一项多中心前瞻性研究，比较了颈椎脊髓损伤（CSCI）无骨和椎间盘损伤患者接受手术干预与保守治疗的神经学结果。
评估颈椎脊髓压迫但无骨和椎间盘损伤的不完全瘫痪（AIS B、C）患者行减压手术的神经学结果。
日本 LHWO 脊髓损伤中心和日本的其他 10 家劳动事故医院。
34 例 AIS B、C 伴颈椎脊髓压迫患者分为手术治疗组和保守治疗组。每组纳入 17 例患者。将 AIS B、C 且脊髓受压较轻的患者纳入另一组。
发现 AIS B、C 伴脊髓压迫患者的手术治疗和保守治疗的神经学结果非常相似。此外，对于脊髓受压较轻的 AIS B、C 患者行保守治疗后的神经学结果也相似。
在急性期，对于无骨和椎间盘损伤且伴脊髓压迫的 CSCI 患者，手术治疗并不优于保守治疗。
