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无骨折脱位型颈髓损伤手术效果的评价
引用本文:周俊明,赵新建. 无骨折脱位型颈髓损伤手术效果的评价[J]. 临床骨科杂志, 2004, 7(4): 420-421
作者姓名:周俊明  赵新建
作者单位:佛山市第一人民医院骨科,广东,佛山,528000;佛山市第一人民医院骨科,广东,佛山,528000
摘    要:目的 评价对无骨折脱位型颈髓损伤手术治疗的价值。方法26例中行前路减压植骨颈椎钢板固定6例,行后路单开门椎板成型术20例。术后随访1年。结果,按照JOA评分标准,优10例,良3例,中7例,差6例。结论 无骨折脱位型颈髓损伤是一种严重的疾病,预后不良,手术效果未得到肯定,手术治疗的时机,手术方式的选择和治疗效果没有必然的联系,患者病情的转归可能和脊髓损伤的程度有关。

关 键 词:无骨折脱位型  颈髓损伤  椎管狭窄  减压术  外科
文章编号:1008-0287(2004)04-0420-02
修稿时间:2004-04-20

Evaluation of the effect of operation for cervical spinal cord injuries without fracture or dislocation
Zhou Junming,Zhao Xinjian. Evaluation of the effect of operation for cervical spinal cord injuries without fracture or dislocation[J]. Journal of Clinical Orthopaedics, 2004, 7(4): 420-421
Authors:Zhou Junming  Zhao Xinjian
Abstract:Objective To evaluate the value of the operation for cervical spine cord injures without fracture or dislocation.Methods 6 cases were performed anterior decompression and cervical plate fixation, 20 cases were performed posterior one-side open door laminoplasty.Results All cases were followed up for 1 year.According to the standard of the JOA, the results were excellent in 10 cases, good in 3,fair in 7 and poor in 6.Conclusion The cervical spinal cord injury without fracture or dislocation is a severe one and the prognosis is not good. The result of operation is not sure. The operation timing and method have no necessary relation with the effect. The definite result may be correlated with the severity of spinal cord injury.
Keywords:anfracture-dislocation  injuries of the cervical spine cord  spinal stenosis  decompression  surgical
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