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后路钉棒技术治疗无骨折脱位型颈脊髓损伤
引用本文:卢畅,李晶,王冰,康意军,马泽民,吕国华.后路钉棒技术治疗无骨折脱位型颈脊髓损伤[J].中南大学学报(医学版),2006,31(2):288-290.
作者姓名:卢畅  李晶  王冰  康意军  马泽民  吕国华
作者单位:中南大学湘雅二医院脊柱外科,长沙,410011
摘    要:目的:评估无骨折脱位型颈脊髓损伤后路钉棒技术治疗效果。方法:应用后路钉棒技术治疗38例无骨折脱住型颈脊髓损伤病人,比较手术治疗前后及随访时JOA评分变化。结果:本组病例手术后未见严重并发症;术后JOA评分平均增加了4.1(3~12)分,随访4,12,24周JOA评分平均增加了6.7,7.8,8.1分;1例在术后1年神经功能仍有改善。结论:后路钉棒技术治疗无骨折脱住型颈脊髓损伤可取得良好疗效。

关 键 词:颈椎  无骨折脱位  脊髓损伤  
文章编号:1672-7347(2006)02-0288-03
收稿时间:2005-05-16
修稿时间:2005年5月16日

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LU Chang,LI Jing,WANG Bing,Kang Yi-jun,MA Ze-min,L Guo-hua.
Authors:LU Chang  LI Jing  WANG Bing  Kang Yi-jun  MA Ze-min  L Guo-hua
Institution:Department of Spinal Surgery, Second Xiangya Hospital, Central South University, Changsha, China. luchang001@126.com
Abstract:Objective To evaluate the efficacy of screw-rod technique in treating cervical spinal cord injury without fracture and dislocation. Methods The screw-rod technique was used to treat 38 patients with cervical spinal cord injury without fracture and dislocation. The JOA scores before and after the surgery were evaluated. Results No severe complication occurred. The JOA scores were increased by 4. 1, 6.7, 7.8, and 8. 1 respectively at 0 th, 4 th, 12 th and 24 th weeks after the operation. Neurological deficits were improved one year after the operation in 1 patient. Conclusion Treating cervical spinal cord injury without fracture and dislocation with screwrod technique can achive an efficient and safe clinical outcome.
Keywords:cervical vertebra  non-fracture-dislocation  spinal cord injury
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