Damage control of multiple injuries headed by cervical spinal cord injury.
- Author:
Si-hai LIU
1
;
Ai-min WANG
;
Quan-yin DU
;
Yu-feng ZHAO
;
Zi-ming WANG
;
Qing-shan GUO
;
Yue SHEN
Author Information
- Publication Type:Case Reports
- MeSH: Adolescent; Adult; Cervical Vertebrae; injuries; Emergency Treatment; Female; Humans; Male; Middle Aged; Multiple Trauma; etiology; surgery; Quadriplegia; Retrospective Studies; Spinal Cord Injuries; surgery
- From: Chinese Journal of Traumatology 2008;11(1):45-48
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo explore the strategy of damage control in clinical treatment of multiple injuries headed by cervical spinal cord injury.
METHODSA retrospective analysis was performed in 32 patients. Cervical fractures associated with tetraplegia occurred in 18 patients, traumatic intervertebral disk hernia associated with tetraplegia in 2 patients, and cervical fractures and dislocation associated with tetraplegia in 12 patients. Seventeen cases were combined with craniocerebral injury, 7 combined with pulmonary contusion, multi-fractures of rib or hemopneumothorax, 2 combined with pelvic fracture and other 8 combined with fracture of limbs. The neural function was assessed by the American Spinal Injury Association (ASIA) scale.
RESULTSThirty-one patients were followed up for an average of 14 months. Of them, 10 got complete recovery, 13 obtained improvement of more than one ASIA grade, 8 did not improve, and 1 died.
CONCLUSIONSFor the emergency treatment of multiple injuries headed by cervical spinal cord injury, the damage control strategy is the principle to follow. The final operations are preferably performed within 5 to 10 days after injury so as to raise the successful rate of remedy.
