摘要
目的探讨早期手术治疗急性严重颈脊髓损伤的临床效果。方法自1999～2002年对24例急性颈脊髓损伤的患者进行早期手术治疗,受伤到手术的平均时间为67h,手术方式包括颈椎前路手术、后路手术及前后路联合手术,对损伤的颈椎节段实施复位、减压、固定和融合。结果22例获得12～38个月(平均18个月)的随访,除11例全瘫者中的2例无恢复外,其他病例均有不同程度的恢复,ASIA分级平均提高1.8个等级,无并发症发生。结论对急性严重颈脊髓损伤,早期实施手术治疗可取得满意的治疗效果。
Objective To study the clinical results of early surgery for acute cervical spinal cord injury. Methods 24 cases of acute cervical spinal cord injury were treated with early surgery in our hospital from 1999 to 2002. The average interval from injury to surgery was 67 hours. The injured cervical segments were reduced, decompressed and fixed through anterior approach, posterior approach or anterior posterior approach. Results 22 cases got follow ups of 12 to 38 months (mean 18 months), but 2 cases were lost. 2 cases of the 11 patients of ASIA Grade A did not experience any restoration, but all the other patients got significant restoration and an average improvement of 1.8 ASIA grades. Conclusion Operation should be performed as soon as possible for acute cervical spinal cord injury, for good results can be achieved by early surgery.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第11期1206-1208,共3页
Chinese Journal of Orthopaedic Trauma
关键词
颈椎
脊髓损伤
早期手术
Cervical spine
Spinal cord injury
Early surgery
