无骨折脱位型急性颈脊髓损伤的手术治疗  

Surgical Treatment of Acute Cervical Spinal Cord Injury without Fracture or Dislocation

作　　者：巫洪波[1] 谢惠缄[1] 姚仕奋[1] 江铃波[1] 陈民[1] 

机构地区：[1]广东省惠州市中心医院脊柱外科,广东惠州516001

出　　处：《河北医学》2009年第6期686-687,共2页Hebei Medicine

摘　　要：目的:探讨无骨折脱位型急性颈脊髓损伤的手术疗效。方法:1998年至2007年本院收治23例无骨折脱位型急性颈脊髓损伤患者,所有患者均采用手术治疗,其中前路减压脊柱稳定重建8例,后路减压9例,前后联合减压脊柱稳定重建6例,观察各组手术治疗前后及随访时JOA评分变化。结果:所有病例未发生血管、神经损伤等严重并发症,JOA评分平均较术前改善。结论:对无骨折脱位型急性颈脊髓损伤,根据病理基础及受伤机理选择手术治疗,可以获得良好的临床疗效。Objective：To discuss the surgical treatment and its clinical outcomes of cervical spinal cord injury without fracture or dislocation. Method： The clinical data of 23 patients with acute cervical spinal cord injury complicated with no fracture and dislocation from 1998 to 2007. Anterior spinal reconstruction and decompression in 8 cases, posterior spinal cord decompression in 9 cases, posterior spinal cord decom- pression union anterior spinal reconstruction and decompression in 6 cases. Each patient＇ s JOA score before and after operation was reviewed. Result： No severe vascu neurological complication occurred. The JOA score improved after operation. Conclusion： Surgical treatment of acute cervical spinal cord injury without fracture or dislocation can achive an efficient and safe clinical outcome, while reliable selection of surgical procedure on thoroughly considering the patient＇ s status before operation.

关 键 词：颈椎 无骨折脱位 脊髓损伤 手术 

分 类 号：R651.2[医药卫生—外科学]