外伤性颈椎间盘突出症的特点和治疗

目的:回顾分析外伤后颈椎问盘突出症62例,旨在找出其特点及规律.方法:62例,男46例,女16例;年龄19～63岁,平均36.4岁.临床表现为四肢肌力下降、触痛觉减退,其中四肢对称性瘫痪30例,上肢运动瘫痪重于下肢19例,一侧瘫痪而对侧痛温觉障碍13例.58倒手术治疗,取髂骨植骨钢板内固定25例,钛网植骨内固定20例,未做内固定13例.4例行保守治疗.结果:58例切口均Ⅰ期愈合.随访6～28个月,平均11个月,四肢功能都有不同程度的恢复,其中恢复到正常者24例,余34例肌力感觉明显恢复.JOA评分由术前的平均5.6分上升至平均12.7分.结论:外伤性颈椎间盘突出症的手术治疗效果明确.

Clinical features and treatment of traumatic cervical disc herniation

Objective: To investigate clinical features of the traumatic cervical disc herniation and through retrospective analysis 62 cases of traumatic cervical disc herniation. Methods: Among 62 patients with traumatic cervical disc herniation,46 patients were male and 16 patients were female,with an average ages of 36.4 years. According to the clinical manifestation,there were 30 cases of symmetrical limb palsy,19 cases of upper motor palsy serious than lower,13 cases of unilateral palsy and contralateral disorder of algesthesia and thermesthesia. There were 58 patients treated with operation and 4 patients treated with conservative method. Results: All of the incisions were with primary healing. Twenty-four patients recovered to normal,and other 34 cases improved obviously and the duration of follow-up ranged from 6 to 28 months. The average time was 11 months. JOA scores increased from preoperative 5.6 to postoperative 12.7. Conclusion: Operative treatment is effective for different types of the traumatic cervical disc herniation.