Gardner B P, Theocleous F, Krishnan K R
National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, U.K.
Paraplegia. 1988 Apr;26(2):94-8. doi: 10.1038/sc.1988.18.
The case histories of 198 consecutive traumatic spinal cord injured patients treated at the Mersey Regional Spinal Injuries Centre between 1975 and 1982 were reviewed. One hundred and seventy six were treated conservatively and 22 surgically. Functional outcome, complications, radiological reduction achieved and duration of initial hospital admission of the two groups are outlined. Prospective, multicentred trials are required to enable valid comparisons of treatments to be made. Patient expectations, state resources and local factors may determine which philosophy of spinal treatment is most appropriate for different centres in different countries.
回顾了1975年至1982年间在默西地区脊髓损伤中心接受治疗的198例连续创伤性脊髓损伤患者的病历。176例接受保守治疗,22例接受手术治疗。概述了两组的功能结果、并发症、放射学复位情况以及初次住院时间。需要进行前瞻性、多中心试验,以便对治疗方法进行有效的比较。患者的期望、国家资源和当地因素可能决定哪种脊髓治疗理念最适合不同国家的不同中心。