The effect of anterior fusion with the internal fixation in treatment of fracture-dislocation complicated with spinal cord injure
10.3760/cma.j.issn.1008-6706.2011.03.015
- VernacularTitle:颈前路减压植骨、钛钢板内固定治疗颈椎骨折、脱位伴脊髓损伤的疗效观察
- Author:
Jun WANG
;
Wenhui LV
- Publication Type:Journal Article
- Keywords:
Cervical vertebrae;
Dislocations;
Spinal cord injuries;
Decompression,surgical;
Internal fixators
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(3):317-318
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the the effect and rate of complications of anterior fusion with the internal fixation in treatment of fracture-dislocation complicated with spinal cord injure. Methods 46 patients with fracturedislocation complicated with spinal cord injure were selected as group A 23 cases and group B 23 cases according to the methods of treatment,group A was treated with anterior fusion with the internal fixation,group B was treated with cervical posterior, then the total effective rate, surgical time, the rate of complications, ASIA scores and SF-36 scores before and after the treatment of the two groups were studied. Results The total effective rate of group A(91.3% )was higher than that (73.9%) of group B ( 17/23 ) ( x2 = 6. 38, P ＜ 0. 05 ), surgical time ( 83.6 ± 23.5 ) min of group A was shorter than that of group B( 106.8 ±25. 1)min(t =5.37,P ＜0. 05) ,the rate[13.0% (3/23)]of complications of group A was lower than that of group B[26. 1% (6/23)] ,ASIA scores and SF-36 scores of group A after the treatment were better than those of group B(P ＜0. 05) ,there were significant differences. Conclusion The effect of anterior fusion with the internal fixation in treatment of fracture-dislocation complicated with spinal cord injure was better,and the the rate of complications was lower,and it was worthy of exploitation and promotion.
