[Diagnosis and treatment for the injury of cervical disc and longitudinal ligament].
OBJECTIVE
To study the diagnosis and treatment for the injury of cervical disc and longitudinal ligament.


METHODS
From 2001 to 2005, the clinical data of sixty-three patients with cervical disc and longitudinal ligament injury were studied. Early treatment was done based on spinal cord injuries and spinal stabilities by X rays and MRI. Early operation was done in fifty-four cases and early non-operation in nine cases.


RESULTS
The follow-up time was six to forty-one months in all patients. The neurological recovery was found in two of eight complete SCI post-operation, thirty-one in thirty-nine incomplete SCI. Cervical collar or plaster orthotic were used in nine cases with four to six weeks. Evidence of instability was noted in four patients, who were operated with anterior decompression fusion. Neck chronic pain was found in two patients, anterior decompression and fusion was done in one with cervical spinal cord compression.


CONCLUSIONS
MRI examination is the most value measure for the diagnosis of cervical disc and longitudinal ligament injury. Early anterior decompression and fusion was an important approach for cervical disc and longitudinal ligament injury.
Ye
Tian-wen
TW
Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, 200003 Shanghai, China.
Jia
Lian-shun
LS
Chen
Xiong-sheng
XS
Yuan
Wen
W
Zhou
Xu-hui
XH
Song
Dian-wen
DW
D000293:Adolescent; D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000293:injuries* / Q000601:surgery; D019299:Decompression, Surgical; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000293:injuries* / Q000601:surgery; D017846:Longitudinal Ligaments / Q000293:injuries* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013123:Spinal Fusion / Q000379:methods*; D013124:Spinal Injuries / Q000175:diagnosis / Q000628:therapy