Clinical features and strategies for the treatment of cervical spinal injury in aged patients
10.3969/j.issn.1003-0034.2013.08.013
- VernacularTitle:老龄颈脊髓损伤的临床特点及治疗策略
- Author:
Hua Bi LAI
1
;
Guang Jian ZHANG
;
Hui Jun PAN
Author Information
1. 福建医科大学附属南平第一医院骨二科
- Keywords:
Aged;
Cervical vertebrae;
Spinal cord injuries;
Therapy
- From:
China Journal of Orthopaedics and Traumatology
2013;(8):663-667
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate clinical features and treatments of cervical spinal injury in aged patients. Methods:From July 2006 to October 2011,27 patients with cervical spinal cord injury were divided into experiment group,including 20 males and 7 females with an average age of 69 years old (ranged 65 to 78 years old). The other 22 patients with the same de-gree of cervical spianl cord injury and the same period hospitalization were chosen to regard as control group ,including 16 males and 6 females with an average age of 47 years old (ranged 38 to 65 years old). All of them had clear history of trauma, and were admitted to hospital within one week. Clinical data and result of follow up were evaluated between two group. The function of the spinal cord was measured by Frankel classification at admission and final follow up. Results:All patients were followed up for 1 year except 6 died in aged group ,among which 3 paients with complications were died during hospitalization and others were out of hospital. Twenty three cases had accompanied diseases and 24 cases occurred complications in aged group. Contrast to control group,this difference was statistically significant. At the final follow up,there were 2 cases at Frankel grade E in aged group and 6 cases in control group. Conclusion:In comparison with control group,there are more accompany diseases and higher complications and mortality rates in aged group ,while poor improvement of spinal cord function. This pa-tients were mainly treated with operation,but operation method should simplify and mainly focus on effective decompression and reconstuction stability and avoid expansion operation. It's nesscerry to pay more attention to prevent and treatment of res-piratory complication.
