Wilmot C B, Hall K M
Paraplegia. 1986 Apr;24(2):71-6. doi: 10.1038/sc.1986.10.
A retrospective study was conducted over a two-year period of 95 consecutive admissions for traumatic paraplegia. The average age was 32 years. Seventy-two (76%) of these patients had acute surgical intervention. Fifty had Harrington rod placement with posterior fusion, 10 had additional laminectomy and one had rodding and anterior fusion. Seven laminectomies (alone) were performed at other hospitals. For those with rodding and/or fusion, rehabilitation stay was 70 days; for those with no surgery, 81 days. This difference was not statistically significant. However, when days of acute medical/surgical and rehabilitation hospitalization were combined, those having spinal surgery of any kind had a significantly shorter stay than those not having surgery (95 vs. 136 days). Complications were significantly greater in the patients who underwent internal fixation surgery. The neurological condition did not appear to be jeopardized by rodding and fusion.
对连续95例创伤性截瘫患者进行了为期两年的回顾性研究。平均年龄为32岁。其中72例（76%）患者接受了急性手术干预。50例行哈林顿棒置入并后路融合术，10例行额外的椎板切除术，1例行棒置入及前路融合术。7例（单纯）椎板切除术在其他医院进行。对于行棒置入和/或融合术的患者，康复住院时间为70天；未手术患者为81天。这种差异无统计学意义。然而，当将急性内科/外科住院天数和康复住院天数合并计算时，接受任何类型脊柱手术的患者住院时间明显短于未手术患者（95天对136天）。接受内固定手术的患者并发症明显更多。神经状况似乎未因棒置入和融合术而受到损害。
