トラウマと治療のジャーナル

The Importance of Early Decompression Combined with Bone Grafting and Internal Fixation and Early Electric Stimulation in the Treatment of Severe Injury of Spinal Cord

Abstract

Tang C, Zhang X, Zhou X, Zhang P, Zhao S, Zhang J, Ji Z, Zhu D, Cao X and Cai W

Objective: To explore the anterior/posterior decompression, bone graft, internal fixation combined with postoperative early stimulation in the treatment of cervical spine trauma complicated with spinal cord injury treatment. 

Methods: From 2005 January to 2014 December, 40 patients with cervical spine fracture, dislocation of injury associated with spinal cord injury were treated with anterior/posterior decompression, bone graft, internal fixation operation combined early electrical stimulation after operation.

Results: 40 cases were followed up from 12 months to 6 years. Bone graft healed well, no case of plate and screws loosening, rupture and other complications, symptoms of spinal cord injury improved satisfactorily. Preoperative spinal cord injury Frankel grade: A grade 24 cases, B grade 4 cases, C grade 5 cases, D grade 7 cases, postoperative recovery to B grade 2 cases, E grade 26 cases. According to the Japanese Department of orthopedics Society (JOA) criteria score, postoperative improvement rate was 89.26%.

Conclusion: Anterior/posterior spinal canal decompression, bone graft, early internal fixation operation combined with postoperative early electrical stimulation in the treatment of patients with cervical spine injury associated with spinal cord injury, can prevent or alleviate the secondary spinal cord injury and other complications, provide effective fixation spinal segmental stability, promote the recovery of spinal cord function, achieve a satisfactory effect.