[Appraise operative outcome for acute central cervical spinal cord injuries without fracture and dislocation].
OBJECTIVE
To evaluate the surgical outcome for acute central cervical spinal cord injuries without fracture and dislocation.


METHODS
A retrospective study was performed on 52 patients with acute central cervical cord injuries without fracture and dislocation from 2000 to 2005. All of patients underwent cervical anterior or posterior decompression, fusion and inter fixation. Spinal function was evaluated by ASIA (American Spinal Injury Association) guidelines. Pre- and post-operation ASIA scores were analyzed using liner correlation and regression. The neurological function was recorded during followed-up. The average follow-up was 29 months (range, 12 to 42).


RESULTS
After operation, the ASIA scores increased significantly (P<0.01). Finally, ASIA motor, pin pricking and light touching scores of the 41 patients were 91 +/- 7, 107 +/- 6 and 107 +/- 6 respectively.


CONCLUSIONS
Decompression and inter fixation for injured segment can make a stable and broad space for spinal cord, promoting early neurological recovery and long-term improvement.
Jiang
Jian-yuan
JY
Department of Orthopedics, Spinal Surgery Center, Huashan Hospital, Fudan University, Shanghai 200040, China. jjy@fudanspine.com
Ma
Xin
X
Lü
Fei-zhou
FZ
Xu
Zheng-feng
ZF
D000208:Acute Disease; D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013117:Spinal Cord Compression / Q000209:etiology / Q000517:prevention & control; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D013123:Spinal Fusion / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome