Investigate the strategy for diagnosis and surgical treatment of acute and subacute nontraumatic spinal cord injury
10.3969/j.issn.1671-8348.2017.05.018
- VernacularTitle:椎管病变致急性/亚急性非创伤性脊髓损伤的诊治策略
- Author:
Biming LIU
;
Rong HU
;
Hua FENG
- Keywords:
spinal cord injuries;
diagnosis;
surgical procedures,operative;
spinal canal
- From:
Chongqing Medicine
2017;46(5):632-634,637
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical features,diagnosis and surgical strategies of the acute and subacute nontraumatic spinal cord injury.Methods We analyzed retrospectively 46 cases of patients with acute and subacute nontraumatic spinal cord injury,who were admitted in the southwest hospital between January 2010 and december 2015.We summarized the clinical data and the effects of the surgical treatments.Results Among the 46 patients,There were 27 males and 19 females with mean age of 40.7 years (10-70).They were followed up for more than 3 months.Neurological function of ASIA at the initial admission included A in 9 cases,B in 6,C in 12 and D in 19.There were 5 hematoma patients (10.9％),11 neurilemmoma cases(23.9％),4 cases of acute disc herination (8.7％),Vascular Malformation 7 cases (15.2％),5 meningioma patients (10.9％),glioma 10 cases(21.7％) and enterogenous cyst 1 case(2.2％).46 patients underwent preoperative MRI examination,followed by spinal canal exploration,lesion resection and/or decompression.Operation within 8 hours,the signs and symptoms were improved in 6 cases.Operation within 8-24 hours were improvement in 2 cases,Operation after 24 hours improvement in 25 cases.Conclusion Early MR imaging and emergency spinal canal exploration and lesion resection with or without lamina decompression surgery is effective for the treatment of patients with acute and subacute nontraumatic spinal cord injury.
