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

来源：

SPINE | 1990年 / 15卷 / 09期

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

页码：953 / 957

页数：5

共 36 条

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