Operation of Decompression and Internal Fixation from the Posterior Approach for Treating Multiple Levels Spinal Instability complicated with Spinal Cord Injury / 中国医师杂志

ABSTRACT

Objective To study the treatment techniques of multiple levels spinal instability complicated with spinal cord injury induced by various factors using opertation of decompression and internal fixation from the posterior approach, and observe their effects. Methods 69 cases of multiple levels spinal instability complicated with spinal cord injury resulting from the acute fractures of violent force, the chronic multiple levels vertebral cavity stenosis and congenital cervical vertebral deformity were treated with the techniques mentioned above. All the patients were followed up for 1 to 3 years after operation. The injury degree of spinal cord was graded according to ASIA's standards before and after operation, and operative efficacy was evaluated. Results 52 cases completely recovered, 9 mostly recovered, and 4 went about on crutches. Among 2 cases of paralysis patients, 1 still was complete paralysis and the other one died. The total efficacious rate was 88%. Conclusion Operation of decompression and internal fixation was effective for treating multiple levels spinal instability, especially for complicated with an incomplete spinal cord injury.