Efficacy of hyperbaric oxygen in children on spinal cord injury complicated with corrective surgery for congenital scoliosis

LV Yan; ZHANG Liang; YANG Chen; YANG Hui; MAI Naikeng; PAN Shuyi

doi:10?3969/j?issn?2095￣3097?2015?02?004

Abstract：Objective To discuss the effect of hyperbaric oxygen (HBO) in treatment of children on spinal cord injury ( SCI ) complicated with corrective surgery for congenital scoliosis ( CS) . Methods Eleven cases of SCI complicated with surgery for CS treated in Navy General Hos￣pital from November 2010 to February 2014 were included in this study. The age,gender,compan￣ying with SCI or not before surgery,the beginning time of HBO treatment,times of HBO treatment,ASIA scores before/after HBO treatment, and prognosis were analyzed retrospectively. Results Surgical treatments were performed in all cases. The four cases with SCI before surgery separately be￣gan HBO treatment at the day from the 6th to 27th day after corrective surgery, for average 15?5 days. Times of HBO treatment were 20—30,for average 23?7 times. When HBO treatment finished,the motor function recovered a little,neurologic status of two cases improved by one grade in Ameri￣can Spinal Injury Association(ASIA) grade, and the other two had no recovery. The seven cases without SCI before surgery separately began HBO treatment at the day from the 3rd to 7th after sur￣gery,for average 5?3 days. The treatment were 7—34 times, for average 21?5 times. When HBO treatment finished,all of them have a fairly good motor function,neurologic status improved by 1—3 ASIA grades. The mean follow￣up time was 20?6 months,the longest was 42 months.All cases have normal micturition and defecation function. The four cases with SCI before surgery live in a poor con￣dition. Six of the cases without SCI before surgery go to school/kindergarten, and one case lost to follow￣up. Conclusion The surgical treatment for CS patients should be performed before severe <br> deformity and SCI exist. Combination of early HBO treatment for SCI complicated with CS corrective surgery is possibly effective.