Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (22): 4135-4138.doi: 10.3969/j.issn.1673-8225.2010.22.037

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Curative effect of cervical spinal cord injury without fracture or dislocation using three surgical methods

Zhan Yi 1, 2, Wu Zeng-hui1, Zhang Kai1, Ma Xiang-yang1, Mai Xiao-hong1   

  1. 1 Department of Orthopaedic Surgery, Guangzhou General Hospital, Guangzhou Military Command, Guangzhou  510010, Guangdong Province, China; 2 Guangzhou Medical University, Guangzhou  510010, Guangdong Province, China
  • Online:2010-05-28 Published:2010-05-28
  • About author:Zhan Yi★, Master, Physician, Department of Orthopaedic Surgery, Guangzhou General Hospital, Guangzhou Military Command, Guangzhou 510010, Guangdong Province, China; Guangzhou Medical University, Guangzhou 510010, Guangdong Province, China zhanyi172@126.com

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Abstract:

BACKGROUND: In recent years, the development of anatomy, imaging, surgical technology and the deepening understanding of studies significantly improve the treatment of cervical spinal cord injury without fracture or dislocation (CSCIWFD).
OBJECTIVE: To observe effect of anterior reconstruction of spinal stability, posterior decompression and lateral mass fixation, anterior decompression and posterior reconstruction of spinal stability for treatment of CSCIWFD.
METHODS: A total of 27 CSCIWFD patients from the General Hospital of Guangzhou Military Command between October 2003 and December 2005 were retrospectively analyzed, including 22 males and 5 females, who were admitted to hospital within 7 days after injury and treated by anterior decompression and reconstruction of spinal stability, single-door and posterior lateral mass fixation, anterior decompression and posterior reconstruction of spinal stability according to their damage. Treatment effect was evaluated by Frankel grading, and improvement rate was calculated by JOA score.
RESULTS AND CONCLUSION: All patients were followed up for 6 to 33 months, with an average of 18 months. Imaging results showed full decompression, well fixed internal fixation, no loosening or fracture phenomena. In addition, fusion segments were well after 1 year of bone fusion. The neurological symptoms of 27 patients were improved when they were discharged. Except one case of Frankel A with no significant recovery, the remainders were 1 to 4. Postoperative JOA score was significantly improved compared with the preoperative: the anterior decompression and reconstruction of spinal stability group was improved by 50%, posterior lateral mass of a single door and fixed group by 53%, anterior and posterior reconstruction of spinal stability by pressure group by 51%. All patients did not develop complications in blood vessels or nerve injury during implantation or follow-up. Results show that appropriate surgical procedure can obtain good effect according to features of CSCIWFD.

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