Abstract
Objective To explore the diagnosis and treatment for spinal cord injury without fracture dislocation.Methods 35 cases of patients with spinal cord injury without fracture dislocation were applied with conservative treatment and surgical treatment respectively,including 24 male patients and 11 female patients,with an average age of 48.Results Patients consisted of 10 cases of conservative treatment and 25 cases of surgical treatment.All the 35 cases had received following-up investigation lasting for 18(8-36)months in average.The JOA marking criterion was used for rating operation improvement.In the conservative treatment,there were 3 cases having excellent or good therapeutic effect with an effective rate of 30%,while there were 18 cases having excellent or good therapeutic effect in the surgical group with the effective rate of 72%.Conclusiona MRI inspection in cervical spinal cord is favorable for the diagnosis and treatment for spinal cord injury without fracture dislocation;early phase surgery decompression operation should be carried out but compressed cervical spinal cord and the surgical approach should be determined according to the source of cervical spinal cord compression. Key words: Cervical spinal cord injury; Spinal cord injury without fracture dislocation; Surgical decompression; Fusion additional; Therapy
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