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[Appraise operative outcome for acute central cervical spinal cord injuries without fracture and dislocation]
Jian-yuan Jiang1, Xin Ma, Fei-zhou Lü
1Department of Orthopedics, Spinal Surgery Center, Huashan Hospital, Fudan University, Shanghai 200040, China. jjy@fudanspine.com
Objective:
To evaluate the surgical outcome for acute central cervical spinal cord injuries without fracture and dislocation.
Methods:
A retrospective study was performed on 52 patients with acute central cervical cord injuries without fracture and dislocation from 2000 to 2005. All of patients underwent cervical anterior or posterior decompression, fusion and inter fixation. Spinal function was evaluated by ASIA (American Spinal Injury Association) guidelines. Pre- and post-operation ASIA scores were analyzed using liner correlation and regression. The neurological function was recorded during followed-up. The average follow-up was 29 months (range, 12 to 42).
Results:
After operation, the ASIA scores increased significantly (P<0.01). Finally, ASIA motor, pin pricking and light touching scores of the 41 patients were 91 +/- 7, 107 +/- 6 and 107 +/- 6 respectively.
Conclusion:
Decompression and inter fixation for injured segment can make a stable and broad space for spinal cord, promoting early neurological recovery and long-term improvement.