Transfeldt E E, White D, Bradford D S, Roche B
Twin Cities Scoliosis Spine Center, Minneapolis, Minnesota.
Spine (Phila Pa 1976). 1990 Sep;15(9):953-7. doi: 10.1097/00007632-199009000-00021.
Forty-nine patients with complete and incomplete injuries of the spinal cord or cauda equina who had undergone anterior decompression at a minimum of 3 months after injury were examined. Follow-up was from 12 months to 19 years. Postoperative neurologic improvement occurred in 46.5% of patients with incomplete injuries. If the surgery was performed less than 2 years after injury, neurologic improvement occurred in 68% with an improvement in Frankel grade of 32%. Bladder function improved in 27% of patients and if operated on less than 2 years after injury improvement occurred in 43%. Conus medullaris decompression resulted in a 50% improvement. There was an 83% improvement in the pattern of pain after decompression. Of 23 patients with preoperative spasticity, 10 improved but 6 were worse after surgery.
对49例脊髓或马尾完全性和不完全性损伤且在损伤后至少3个月接受前路减压术的患者进行了检查。随访时间为12个月至19年。46.5%的不完全性损伤患者术后神经功能有改善。如果在损伤后不到2年进行手术，68%的患者神经功能有改善，Frankel分级提高32%。27%的患者膀胱功能改善，如果在损伤后不到2年进行手术，43%的患者膀胱功能改善。圆锥减压术使改善率达到50%。减压术后疼痛模式改善率为83%。23例术前有痉挛的患者中，10例术后改善，但6例术后恶化。
