Surgical treatment of cervical spine injury associated with spinal cord injury
Objective To investigate the surgical methods and curative effects of cervical spine injury combined with spinal cord injury. Methods A retrospective analysis was performed on the data of 15 patients with jumping cervical spine injury combined with spinal cord injury admitted from January 2019 to December 2021. Before surgery, the spinal cord injury segment was determined according to the nerve injury plane combined with cervical spine MRI. Before surgery, the surgical segment was determined according to cervical spine CT and MRI. All patients had skip type cervical spine injury combined with spinal cord injury and were treated with surgery. The American Spinal Cord Injury Association score was used to evaluate the neurological function, and the motor function score (AMS) and sensory function score (ASS) were compared before surgery, 3 months after surgery, and 1 year after surgery. Observe whether the internal fixation failure and healing. Results The patients were followed up for 12 to 36 months, with an average of 19 months. AMS and ASS were significantly improved at 3 months and 1 year after surgery, and the difference was statistically significant (P＜0.05); AMS and ASS were significantly improved with the increase of time, and the difference was statistically significant (P＜0.05). The patient''s fracture healed well, and no internal fixation loosening occurred. Conclusion The stability of the upper and lower injured cervical vertebrae should be reconstructed while the spinal cord compression should be relieved in the patients with jumping cervical spine injury combined with spinal cord injury.
万方数据
