High Dosage Methylprednisolone for Neural Protection in Operation for Lumbar Spinal Stenosis
- VernacularTitle:腰椎管狭窄症手术中应用大剂量甲基强的松龙对神经的保护作用
- Author:
Hua ZHANG
;
Zhiguo ZHAO
;
Chunli YAO
- Publication Type:Journal Article
- Keywords:
lumbar spinal stenosis, methylprednisolone, spinal cord, protection
- From:
Chinese Journal of Rehabilitation Theory and Practice
2010;16(9):865-866
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo observe the protective effect of high-dosage methylprednisolone (MP) after lumbar spinal stenosis operation. Methods20 Patients with lumbar spinal stenosis accepted laminectomy. The treatment group (11 cases) received MP 30 mg/kg when the skin incised, and followed with MP 40 mg twice a day for 3 d after operation. The control group (9 cases) received MP 40 mg twice a day for 3 d after operation. They were assessed with JOA scale before and after operation. ResultsThe JOA score was (9.25±2.12) and (9.53±2.10) in treatment group and control group before operation (P>0.05), and was (13.43±2.01) and (11.21±2.13) 1 week after operation (P<0.05), (14.62±2.15) and (13.04±2.11) 3 months after operation (P<0.05). The neurological symptom deteriorated in 1 cases of control group. No peptic ulcer, poor wound healing or other associated complications has been found. ConclusionHigh-dosage methylprednisolone may protect the spine cord intraoperative the lumbar spinal stenosis.