DELAYED ANTERIOR DECOMPRESSION IN PATIENTS WITH SPINAL-CORD AND CAUDA-EQUINA INJURIES OF THE THORACOLUMBAR SPINE

被引:45
作者
TRANSFELDT, EE [1 ]
WHITE, D [1 ]
BRADFORD, DS [1 ]
ROCHE, B [1 ]
机构
[1] UNIV MINNESTO HOSP,CTR TWIN CITIES SCOLIOSIS SPINE,MINNEAPOLIS,MN
关键词
Delayed decompression; Pain; Spinal cord injury; Spine fractures;
D O I
10.1097/00007632-199009000-00021
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Forty-nine patients with complete and incomplete injuries of the spinal cord or cauda equina who had undergone anterior decompression at a minimum of 3 months after injury were examined. Follow-up was from 12 months to 19 years. Postoperative neurologic improvement occurred in 46.5% of patients with incomplete injuries. If the surgery was performed less than 2 years after injury, neurologic improvement occurred in 68% with an improvement in Frankel grade of 32%. Bladder function improved in 27% of patients and if operated on less than 2 years after injury improvement occurred in 43%. Conus medullaris decompression resulted in a 50% improvement. There was an 83% improvement in the pattern of pain after decompression. Of 23 patients with preoperative spasticity, 10 improved but 6 were worse after surgery. © Lippincott-Raven Publishers.
引用
收藏
页码:953 / 957
页数:5
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