摘要
本文通过对我院1979年至1986年间收治下颈椎急性屈曲型损伤合并截瘫29例治疗的回顾及文献复习,提出治疗这类病例应先给予颅骨牵引或Glison氏牵引。早期手术时机延迟到伤后7～10天。手术方式首选前路减压加融合术;对伴有颈椎后方有不稳定因素存在者,加用后路固定式融合。有中枢性高热或低温者,意味着预后很差。
On the basis of retrospections of the treatment of 29 cases of acute lesions of flexion type between the third and seventh cervical vertebrae associated paraplegia admitted during 1979-1986 and of reviewing literatures, the authors advance that in management of these lesions skelet traction or Glison's traction should be taken at first and the early operation be delayed to 7-10 days after injury.The anterior decompression and fusion is the method of choice.It means a poor prognosis to develop centric high fever or hypothermia.
出处
《皖南医学院学报》
CAS
1989年第1期19-21,共3页
Journal of Wannan Medical College
关键词
颈椎损伤
截瘫
手术
cervical vertebea/IN
cervical vertebra/SU
paraplegia/SU
