Outcomes of surgeries for acute cervical spinal cord injury without cervical spine fracture or dislocation in young and middle-aged patients.
- Author:
Qing CHANG
1
;
Zhan-sheng DENG
;
Jing CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Cervical Vertebrae; injuries; surgery; Female; Humans; Joint Dislocations; surgery; Male; Middle Aged; Neck Injuries; surgery; Retrospective Studies; Spinal Cord Injuries; surgery; Spinal Fractures; surgery; Young Adult
- From: Journal of Southern Medical University 2011;31(5):919-920
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the outcomes of surgeries for acute central cervical spinal cord injury without cervical spine fracture or dislocation in young and middle-aged patients.
METHODSThe clinical data of 58 young and middle-aged patients with acute central cervical spinal cord injury treated in our hospital between August 2005 and August 2009 were analyzed retrospectively. Of these patients, 33 (24 males and 9 females) received surgical treatment and 25 (17 males and 8 females) had conservative therapy. The ASIA grade and ASIA motor and sensory score were used for evaluation at admission and at 14 days and 1 year after the treatment. The neurological symptoms and treatment outcomes in the two groups were evaluated.
RESULTSThe proportion of patients with ASIA grade D-E and the ASIA motor and sensory scores were all significantly higher in the surgical group than in the non-surgical treatment group (P<0.05).
CONCLUSIONFor young and middle-aged patients with central cervical spinal cord injury, immediate surgery can relieve the pressure on the injured spinal cord and improve the micro-circulation to promote functional recovery of the spinal cord.
