Rath N, Balain B
RJAH Orthopaedic Hospital, Oswestry, Shropshire, SY10 7AG, UK.
J Clin Orthop Trauma. 2017 Apr-Jun;8(2):99-102. doi: 10.1016/j.jcot.2017.06.016. Epub 2017 Jun 16.
Acute spinal cord injury (ASCI) is common and no consensuses have been reached regarding timing of surgical decompression. This article highlights the main issues regarding surgical management of ASCI patients. The importance of timing of surgery along with physiological stability of the cord, and indications for surgery has been discussed to facilitate better understanding of the condition. The importance of the type of injury to the spinal column, besides the cord injury, is also discussed. A brief review of relevant literature has been done to try and answer the question whether early or late surgical treatment for ASCI is better than conservative management, reflecting the ethos of treatment for these problems in Robert Jones And Agnes Hunt Orthopaedic Hospital in Oswestry.
急性脊髓损伤（ASCI）很常见，关于手术减压的时机尚未达成共识。本文重点介绍了ASCI患者手术治疗的主要问题。讨论了手术时机、脊髓生理稳定性以及手术指征的重要性，以促进对该病症的更好理解。除了脊髓损伤外，还讨论了脊柱损伤类型的重要性。对相关文献进行了简要回顾，试图回答ASCI早期或晚期手术治疗是否优于保守治疗的问题，这反映了奥斯维斯里罗伯特·琼斯和阿格尼斯·亨特骨科医院对这些问题的治疗理念。
