Abstract
Seven cases of incomplete spinal cord injury with spinal canal stenosis underwent laminoplasty after administration of large doses of methylprednisolone during the acute stage. Among them, five cases who received proposed operation after the conservative therapy improved even though the symptoms were relatively slight (two cases went up one grade on Frankel' s classification). Two severe cases underwent emergency operation in their early stage of injury, and the in results were indistinguishable from the natural course. Within the functional limits of the present MRI for the evaluating spinal cord injury, emergency operation should be performed in order to facilitate early rehabilitation rather than to restore nerve function. Administration of large doses of methylprednisolone for a short period was effective as the conservative therapy for incomplete cord injury. In addition no significant side effects were observed.
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