颈椎骨折脱位并发脊髓损伤的综合康复策略  

Rehabilitation on Cervical Fracture-dislocation Following Spinal Cord Injury

作　　者：张军军[1] 赵建德 陈先[1] 黄玉国[1] 王立功[1] 卢占斌[1] 周钱宏[1] 刘欣[1] 

机构地区：[1]河北省唐山市第二医院脊柱脊髓损伤科,河北唐山市063000 [2]三河市医院骨二科,河北三河市065200

出　　处：《中国康复理论与实践》2010年第8期778-780,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨颈椎骨折脱位并发脊髓损伤患者综合康复治疗策略。方法选2002年8月至2009年3月间以颈椎骨折前脱位并发脊髓损伤入院并经颈椎前路手术治疗的患者126例,选择22例未进行术后康复治疗的患者作为对照组,再从剩余的104例术后接受康复治疗患者中随机选取22例作为康复组,分析预后情况,通过JOA评分总结康复治疗效果。结果获得平均18个月(8～32个月)随访。康复组所有患者肢体功能均获得明显改善。JOA评分较对照组明显提高。结论系统的早期综合康复治疗对颈椎骨折脱位并发脊髓损伤患者可减少并发症,改善预后。Objective To investigate the effect of rehabilitation on cervical fracture-dislocation following spinal cord injury.Methods 126 patients with cervical fracture-dislocation following spinal cord injury from August,2002 to March,2009 in our hospital had undergone cervical anterior surgical treatment. 22 cases were picked up as control group,who missed rehabilitation after surgery. 22 cases were chosen randomly from the rest of 104 cases as rehabilitation group,who had undergone rehabilitation. Prognosis was evaluated by Japanese Orthopaedic Association Scores score（JOA）.Results Follow-up time was 8-32 months,mean time 18 months. The limb function of rehabilitation group improved significantly. JOA score and quality of life were much higher in rehabilitation group than in control group.Conclusion Rehabilitation is very beneficial to improve the quality of life and prognosis,and reduce complications of patients with cervical fracture-dislocation following spinal cord injury at the early stage.

关 键 词：脊髓损伤 颈椎 康复 

分 类 号：R681.5[医药卫生—骨科学]