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 and 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,516001

出　　处：《中国现代药物应用》2009年第12期25-26,共2页Chinese Journal of Modern Drug Application

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 and dislocated. Methods The clinical data of 23 case with acute cervical spinal cord injury complicated with no fracture and dislocatine 1998 to 2007. Anterior spinal reconstruction and decompression in 8 cases, posterior spinal cord decompression in 9 cases, posterior spinal cord decompression union anterior spinal reconstruction and decompression in 6 cases. Each patient＇ s JOA score before and after operation was reviewed. Results No severe vascu neurological complication occurred. The JOA score improved after operation. Conclusion Surgical treatment of acute cervical spinal cord injury without fracture and dislocaofion can achive an efficient and safe clinical outcome, while reliable selection of surgical procedure on carfully 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] R681.550.5[医药卫生—临床医学]