Therapeutic Analysis Of Screw-rod Technique In Treating Cervical Spinal Cord Injury Without Fracture And Dislocation

Objective:To evaluate the efficacy of screw-rod technique in treating cervical spinal cord injury without fracture and dislocation.Methods:The screw-rod technique was used to treat 28 patients with cervical spinal cord injury without fracture and dislocation and 26 patients with conservatively treated. Analyzed of the impact on surgery as the JOA scores before and after the surgery, the differences effectiveness between the conservative treatment and the operative treatment, timing of the surgery and high-signal abnormalities on T2-weighted images.Results:No severe complication occurred. The JOA scores raised markedly after operation and the difference was significant in statistics(P<0.01). The effect between patients who had operated within 2 weeks after the injury and who had operated beyond 2 weeks was statistically different. The treatment result between two groups of display miscellaneous or homogenized high-signal abnormalities on T2-weighted images had statistical significance. The ways of hormone impact and high-pressure oxygen were used in conservative treatment. There was a significant difference on outcome between conservative treatment of an average of 2.7 weeks and surgical treatment.Conclusions : Treating cervical spinal cord injury without fracture and dislocation with screw-rod technique can achieve an efficient and safe clinical outcome. We think that the effect of operative treatment is significantly superior to the conservative. The timing of surgery has important effect on the late recovery of spinal cord. Once the final diagnosis of cervical spinal cord injury without fracture and dislocation is verified, the surgical treatment should be carried out as early as possible. The best timing of surgery should be within 2 weeks after the injury.