Therapeutic effect of decompressive surgery in acute adult cervical spinal cord injury without radiographic abnormalities
ZHANG Wei
ZHANG Xiang
HE Yalong
MAO Xinggang
JI Xituan
LI Jian
DONG Bifeng
XIAO Xian
HUANG Gang
Abstract：Objective The surgical therapeutic effect in acute adult cervical spinal cord injury without radiographic abnormalities (SCIWORA) was explored.Methods All 36 cases received the surgical decompression within 48 h after injury.According to ASIA impairment scale (AIS),ASIA motor and sensory scores,patients'neurologic impairment were evaluated at admission and at discharge.Results Among all 36 cases,AIS grade was A in 1 case,B in 17 cases,and C in 18 cases.Grade conversion took place in 77％ of AIS Grade B patients and 83％ of AIS Grade C patients at discharge.ASIA motor and sensory scores were improved statistically significant from 20.60 ± 9.78,86.30 ± 10.35 at admission to 56.20±10.71,159.20 ± 18.17 at discharge,respectively (P ＜0.01).Conclusion Adult SCIWORA patients can benefit significantly from early decompressive surgery.
Keywords：AcuteAdultCervical spinal injurySurgery
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 498-501 )