Damage control of multiple injuries headed by cervical spinal cord injury / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 45-48, 2008.
Artículo
en Inglés
| WPRIM
| ID: wpr-236735
ABSTRACT
<p><b>OBJECTIVE</b>To explore the strategy of damage control in clinical treatment of multiple injuries headed by cervical spinal cord injury.</p><p><b>METHODS</b>A retrospective analysis was performed in 32 patients. Cervical fractures associated with tetraplegia occurred in 18 patients, traumatic intervertebral disk hernia associated with tetraplegia in 2 patients, and cervical fractures and dislocation associated with tetraplegia in 12 patients. Seventeen cases were combined with craniocerebral injury, 7 combined with pulmonary contusion, multi-fractures of rib or hemopneumothorax, 2 combined with pelvic fracture and other 8 combined with fracture of limbs. The neural function was assessed by the American Spinal Injury Association (ASIA) scale.</p><p><b>RESULTS</b>Thirty-one patients were followed up for an average of 14 months. Of them, 10 got complete recovery, 13 obtained improvement of more than one ASIA grade, 8 did not improve, and 1 died.</p><p><b>CONCLUSIONS</b>For the emergency treatment of multiple injuries headed by cervical spinal cord injury, the damage control strategy is the principle to follow. The final operations are preferably performed within 5 to 10 days after injury so as to raise the successful rate of remedy.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cuadriplejía
/
Traumatismos de la Médula Espinal
/
Cirugía General
/
Heridas y Lesiones
/
Traumatismo Múltiple
/
Vértebras Cervicales
/
Estudios Retrospectivos
/
Tratamiento de Urgencia
Tipo de estudio:
Estudio observacional
Límite:
Adolescente
/
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Chinese Journal of Traumatology
Año:
2008
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS