The Comparison Of Treatment Of The Extention Injury Of Cervical Spinal Cord

With the development of industry and communication., the rate ofcervical injury has raised year by year. Among the total, the rate of theextention injury of cervical spinal cord is great.Aim:We review the treatment of 219 cases of the extention injury of cervicalspinal cord since January 1996 to December 2005,compare the several treatmentplan, discuss the statistics consequence, and discuss the election of treatmentmethod and compare the anterior approach with posterior approach, to provide thebasis for the therapeutics of extention injury of cervical spinal cord.MethodTo divide the above case by conservative and operative treatment(internalfixation of decompression by anterior approach, decompressive laminectomyof posterior approach, unilateral expansive open-door laminoplasty bilateralexpansive open-door laminoplasty),and systemly remark the result of fore andpost treatment( the standard of improved 17 method of spinal cord functionassessment established by Japanese spinal institution ).dvide four grade bythe reforming seventeen according to the condition of paitience : severious(0-4score):beast are most or full paralysis,and can not take care of himself;highgrade:(5-8 score ):beast have partly function,but can not work;middle(9-12score):there are progress in movement ,sensation and etc,can worklightly;light(13-16 score ): there are progress in lightly movement ,sensationand etc, can work lightly;formal(17score). Statistics the progress ratio ofpost two weeks treatment for erery groupConclusion:1. the result of operation is super to the result of conservation, andforeoperation has significant therapeutic effect.2. select proper operative method by MRI before operation.3. adopting case are different for fore and back way of operative,but thesatisfaction gread is basely same.4. Bilateral expansive open-door laminoplasty is best in posterior approach,decompressive laminectomy of posterior approach is slightly worse thanit.Discussion:1.The reason of jury of the extention injury of cervical spinal cord 1.theroyof drectly vilence 2. .theroy of wave ripe 3 theroy of successive .vilence.2.The change of pathology and imageology is decisive for the election oftreatment3.The election of anterior approach and posterior approach, and comparison.