Title: Opportunity of surgical intervention for cervical traumatic spinal cord injury
Abstract: Objective To explore the opportunity of surgical intervention for cervical traumatic spinal cord injury.Methods From Feb.2006 to July 2008,64 patients with cervical traumatic spinal cord injury were divided into two groups: the patients in the first group had no fracture and dislocation,and those in the second group had fracture and dislocation.All patients were given glucocorticoid,deprivation,detumescence,trophic nerve,surgical intervention.The patients in the second group were also treated with traction reduction.Neurological function(Frankel grade) was evaluated before and after operation.Results All cases were followed up for 19 months on average(from 12 to 38 months).All patients were healed after 3.5 months on average.The X-ray showed that intervertebral heights and physiologic curves were well kept and there were no bone block and no plate/cage break or loose.According to Frankel system,80.5% cases obtained excellent and good effects in the second group,and 82.6% cases obtained excellent and good effects in the first group.Conclusion Medication should be used early after cervical traumatic spinal cord injury,to interdict more damage and to prevent complications.Surgery after 1-2 weeks of injury may improve neurologic recovery.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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