Amaresh N B, Sikdar J, Joshi A, Pandey L C
Senior Consultant, Surgery, Office of Director General Armed Forces Medical Services, Ministry of Defence, New Delhi -110011.
Senior Advisor (Surgery & Orthopaedics), Base Hospital, Delhi Cantt-110 010.
Med J Armed Forces India. 2001 Jan;57(1):3-7. doi: 10.1016/S0377-1237(01)80079-4. Epub 2011 Jul 21.
Spinal Cord injury cases are being managed in Base Hospital Delhi Cantt since Oct. 97. 27 cases of thoracolumbar injuries were admitted in this hospital during the period Oct 97 to Aug 99. 20 patients underwent surgical treatment (9 thoracic and 11 lumbar) and 7 were treated conservatively. All these operations were done within 3 weeks following trauma, and methylprednisolone therapy was instituted in those who reached the hospital early. Contraindications to surgery included stable fracture, bed sores, any focus of sepsis and generalized bone disorders. Transpedicular fixation with Dyna-lok system was done in 10 cases, universal spinal system was applied in 6 cases and Harrington instrumentation was carried out in 4 cases. Decompression laminectomy was done in all cases. Patients with incomplete cord injury showed neurological improvement and early rehabilitation was possible after surgery.
自1997年10月起，脊髓损伤病例在德里军区总医院接受治疗。1997年10月至1999年8月期间，该医院收治了27例胸腰椎损伤患者。20例患者接受了手术治疗（9例胸椎损伤和11例腰椎损伤），7例接受了保守治疗。所有这些手术均在创伤后3周内完成，对于早期到达医院的患者采用了甲基强的松龙治疗。手术禁忌症包括稳定骨折、褥疮、任何败血症病灶和全身性骨疾病。10例患者采用Dyna-lok系统进行椎弓根固定，6例应用通用脊柱系统，4例进行哈灵顿器械固定。所有病例均进行了减压椎板切除术。不完全性脊髓损伤患者术后神经功能有所改善，且早期康复成为可能。
