Effects of surgical decompression on the functional recovery in patients with spinal cord injury
LIANG Bing
YANG Xiao-xiong
SONG Ke-ran
YAN Run-min
REN Dong-feng
TANG Jia-guang
Abstract：Objective To explore the effects of surgical decompression on the functional recovery in patients with spinal cord injury ( SCI ).Methods From January 2012 to December 2014, 16 patients with SCI received surgical decompression, including 13 males and 3 females. The average age was ( 38.56 ± 10.77 ) years ( range: 23 - 61 years ). The average follow-up time was ( 18.44 ± 10.06 ) months ( range: 3 - 24 months ). For each patient, a longitudinal incision was made in the dura to expose the spine to determine the spinal cord superifcial softening zone, and ifnally longitudinal incision, debridement and decompression were done. The functional recovery was assessed by the American Spinal Injury Aassociation ( ASIA ) standards, Barthel index and Functionl Independence Measurement ( FIM ).Results After the surgical decompression, functional recovery was effectively improved in patients with SCI. According to the ASIA standards, the function was signiifcantly improved after the surgery compared with that before the surgery. The Barthel index score was ( 30.31 ± 24.25 ) points before the surgery, which was signiifcantly increased to ( 45.00 ± 29.72 ) points postoperatively with statistical significance (P < 0.05 ). The FIM score was ( 79.69 ± 16.42 ) points before the surgery, which was signiifcantly increased to ( 61.13 ± 14.21 ) points postoperatively with statistical signiifcance (P < 0.01 ).Conclusions The motor function and ability of daily life ( ADL ) in patients with SCI are signiifcantly improved after surgical decompression, facilitating their returning to family and society.
Keywords：Spinal cord injuriesSurgical proceduresoperativeDecompressionsurgicalRecovery of function
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 290-296 )