Study on surgical treatment of cervical spinal cord injury without fracture and dislocation
Objective To study and evaluate the therapeutic effects of various surgical approaches for cervical spinal cord injury without fracture and dislocation(CSCIWFD).Methods A clinical observational study was conducted on 74 patients with cervical spinal cord injury without fracture and dislocation who underwent surgical treatment in the Department of Spine and Spinal Cord,Yantai Hospital of Shandong Wendeng Orthopaedics &Trauma Tology from January 2021 to July 2022.According to different surgical approaches,they were divided into anterior cervical surgery group A(33 cases),posterior cervical surgery group B(29 cases),and combined anterior posterior cervical surgery group C(12 cases).The postoperative neurological recovery,surgical time,and postoperative complications among the three groups of patients were compared.Results There was no statistically significant difference in postoperative neurological function recovery between anterior cervical surgery group A,posterior cervical surgery group B,and combined anterior posterior cervical surgery group C(P＞0.05).The complications and surgical time in anterior cervical surgery group A were less than those in posterior cervical surgery group B,and combined anterior posterior cervical surgery group C,and the differences were statistically significant(P＜0.05).Conclusion The clinical efficacy of three different surgical methods in treating cervical spinal cord injury without fracture and dislocation is definite,and each surgical approach has a promoting effect on the recovery of spinal nerves in patients.In terms of surgical time and postoperative complications,anterior cervical surgery is superior to posterior cervical surgery and combined anterior posterior cervical surgery.
Cervical spinal cord injury without fracture and dislocationSurgical methodSurgical timeSurgical effect
万方数据
维普
