Appraise operative outcome for acute central cervical spinal cord injuries without fracture and dislocation.
- Author:
Jian-yuan JIANG
1
;
Xin MA
;
Fei-zhou LÜ
;
Zheng-feng XU
Author Information
- Publication Type:Journal Article
- MeSH: Acute Disease; Adult; Aged; Cervical Vertebrae; Decompression, Surgical; instrumentation; methods; Female; Follow-Up Studies; Fracture Fixation, Internal; Humans; Male; Middle Aged; Retrospective Studies; Spinal Cord Compression; etiology; prevention & control; Spinal Cord Injuries; complications; physiopathology; surgery; Spinal Fusion; instrumentation; methods; Treatment Outcome
- From: Chinese Journal of Surgery 2007;45(6):376-378
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the surgical outcome for acute central cervical spinal cord injuries without fracture and dislocation.
METHODSA retrospective study was performed on 52 patients with acute central cervical cord injuries without fracture and dislocation from 2000 to 2005. All of patients underwent cervical anterior or posterior decompression, fusion and inter fixation. Spinal function was evaluated by ASIA (American Spinal Injury Association) guidelines. Pre- and post-operation ASIA scores were analyzed using liner correlation and regression. The neurological function was recorded during followed-up. The average follow-up was 29 months (range, 12 to 42).
RESULTSAfter operation, the ASIA scores increased significantly (P<0.01). Finally, ASIA motor, pin pricking and light touching scores of the 41 patients were 91 +/- 7, 107 +/- 6 and 107 +/- 6 respectively.
CONCLUSIONDecompression and inter fixation for injured segment can make a stable and broad space for spinal cord, promoting early neurological recovery and long-term improvement.
