急性颈椎脊髓损伤的诊断和手术治疗  

Diagnosis and Operative Treatment of Acute Fracture of the Cervical Spine Complicated with Spinal Cord Injury.

作　　者：齐伟力[1] 孔抗美[1] 左铁臣[1] 张毓州 王利民[1] 王秀玉[2] 

机构地区：[1]河南医科大学第一附属医院骨科,450052 [2]河南医科大学第一附属医放射科,450052

出　　处：《骨与关节损伤杂志》1996年第6期336-338,共3页The Journal of Bone and Joint Injury

摘　　要：作者报告123例急性颈椎脊髓损伤,MRI检查46例.其中92例经颈前路于损伤节段施行减压和植骨融合术;18例行单开门椎管扩大成形加活页侧椎板间植骨术;13例行椎板切除减压,其中5例行“H”形植骨.术后随访4个月至3年.以临床症状、体征和影像检查评价其效果.结果:按照Frankle,功能分级法,术后神经功能提高一级以上者占87.2%.提示MRI对急性颈椎脊髓损伤早期诊断,预后判断及治疗方法的选择提供了可靠的依据.及时解除对脊髓的压迫,有助于神经功能的恢复.One hundred and twenty - three cases with acute fracture of cervical spine complicated with spinal cord injury were reported. There were 46 cases examined by MR image. 92 cases were treated with decompression and bone grafting on injuried segment, 18 cases with unilatral open -door method of laminoplasty and bone grafting on intervertebral lamina, 13 cases with laminectomy. Follow - up 4 months to 3 years , the reasults were evaluated with the criteria of Frankel. Postoperative imprivement rate was 87. 2 per cent. It is sugested that MRI provides reliable basis for diagnosis of early stage, progonsis and therapeutic method.

关 键 词：脊髓损伤 诊断 外科手术治疗 

分 类 号：R651.2[医药卫生—外科学]