颈髓完全性损伤治疗方法的选择

Neurological recovery after conservative treatment for complete injuries of cervical cord

中文关键词:  颈椎，骨折，脱位，颈髓损伤，非手术治疗

英文关键词:Cervical cord Fracture,Dislocation,Cervical cord injuries,Non-operative treament,

中文摘要:

  报告了４２例颈髓完全性损伤非手术治疗的结果。平均年龄２９．７岁。骨折分类：屈曲型２５例，压缩型１０例，过伸型７例。损伤椎节为Ｃ_４～Ｃ_７，平均观察时间为７．８个月。按Ｆｒａｎｋｅｌ分级，仅有４例（９．５％）进步到Ｂ级；按胥少汀对完全性颈髓损伤的修正疗效标准，神经功能改善率为５２．３％。损伤当时截瘫平面高于或等于骨折节段者有较好的恢复率，而低于者无恢复。分析对比了文献报道的早期手术治疗结果，认为：颈髓完全性损伤早期手术与非手术治疗结果无明显差异。强调对完全性损伤早期判断的重要性，建议制定统一的疗效评定标准，并就相关问题进行了讨论。

英文摘要:

  A series of 42 patients with closed traumatic complete injuries of the cervical cord were reported.The average age at the time of injury was 29. 7 years. The mechanism of injury was classified according to Kiwerski. The segments of injuried-vertebra from