Treatment of occipital -cervical deformity and spinal cord injury with foramen magnum decompression combined with occipital -cervical fusion
Yu Zhi
Liu Xuesen
Yan Penghui
Hao Zhiquan
Li Bingbing
Huang Zongqiang
Abstract：Objective To investigate the clinical efficacy and safety of foramen magnum decompression combined with occipital -cervical fusion for the treatment of occipital -cervical deformity and spinal cord injury.Methods 38 patients with occipital -cervical deformity and spinal cord injury from July of 201 1 to July of 201 4 were selected as the research objects, including 22 males and 1 6 females,aged 1 6 ~57(38.2 ±1 2.1 )years old.All the patients were treated with foramen magnum decompression combined with occipital -cervical fusion with internal fixation.The improvement of neurological function was eval-uated by the comparison of preoperative JOA scores and postoperative JOA scores.The spinal canal decompression and bone graft fusion were monitored by radiology or computed tomography.Results All cases were followed up for an average of 1 5.6 months. There was no serious complication such as spinal cord and vertebral artery injury during operation.The screws were in good posi-tion,no loosening or broken screws.All of the screws were in the healing of bone.The spinal function got improved in all pa-tients,the preoperative scores of JOA were 5 ~1 2(7.1 ±1 .8)scores,and the JOA scores of postoperative 1 2 months were 8 ~1 7 (1 4.9 ±1 .6)scores.There was a statistically significant difference in JOA scores between pre -operation and post -operation (P <0.05).Conclusion Foramen magnum decompression and occipital -cervical fusion with internal fixation is safe,simple and effective for occipital -cervical deformity and spinal cord injury,worthy of clinical promotion.
Keywords：occipital -cervical deformityoccipital -cervical fusionforamen magnum decompressionspinal cord injury
Publication Date：2016-01-01
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：3( 228-230 )