Effect of hyperbaric oxygen on 8 cases of iatrogenic spinal cord injury in children
10.3760/cma.j.issn.1009-6906.2015.04.010
- VernacularTitle:高压氧治疗八例小儿医源性脊髓损伤的临床疗效观察
- Author:
Yan LV
1
;
Liang ZHANG
;
Chen YANG
;
Hui YANG
;
Naikeng MAI
;
Shuyi PAN
Author Information
1. 海军总医院高压氧科,北京,100048
- Publication Type:Journal Article
- Keywords:
Hyperbaric oxygen;
Congenital scoliosis;
Spinal corrective surgery;
Iatrogenic spinal cord injury
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2015;22(4):283-285,331
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of hyperbaric oxygen (HBO) on iatrogenic spinal cord injury (ISCI) associated with spinal corrective surgery in child congenital scoliosis (CS).Methods The subjects of our study were 8 cases of ISCI associated with corrective surgery for CS admitted into our hospital for treatment from November 2010 to September 2014.Age,gender,the starting time of HBO therapy after surgery,sessions of HBO therapy,micturition and defecation,muscle strength of lower extremities and ASIA scores (grade) before/after HBO therapy,and long-term prognosis were analyzed retrospectively.Results The spinal cord function of 8 congenital scoliosis child patients displayed normal before surgery,and they received corrective surgical treatment at proper time.Serious symptoms of SCI were displayed after surgery:partial or complete disorder of micturition and defecation (only one case was normal);muscle strength of the lower extremities was 0-3;ASIA scores were of B-C grades.After surgery,the patients respectively received HBO therapy for 3 to 7 days,averaging 5 days,with total treatment sessions of 7 to 50,averaging 25 sessions.Upon completion of HBO therapy,all the child patients had normal micturition and defecation (except 1 case),muscle strength of lower extremities recovered to 3-5 grades,and ASIA evaluation was of C-E grades,increasing by 3 grades on the average.The mean follow-up time was 17.6 months,with the longest follow-up time being 37 months.Neurologic functions of spinal cord in seven patients all recovered,they either went to school or kindergarten.One case failed to have medical follow-up.Conclusions Surgery coupled with early HBO therapy might be an effective treatment method for ISCI associated with spinal corrective surgery for CS.
