无骨折脱位型胸脊髓损伤的诊治分析

Thoracic spinal cord injury without radiographic abnormality

目的 通过 7例无骨折脱位型胸脊髓损伤的治疗分析 ,提高对该病的诊治水平。方法 本组 7例按Frankel脊髓损伤分级 :A级 2例 ,B级 2例 ,C级 3例。其中 5例行了MRI检查。手术治疗 2例 ,保守治疗 5例。结果 经 10个月至 8年 2个月随访 ,4例完全恢复 ,2例部分恢复 ,1例无恢复。结论 MRI检查对无骨折脱位型胸脊髓损伤的诊治具有重要意义 ;

Objective 7 cases of thoracic spinal cord injury without radiographic abnormality (SCIWORA) were analyzed to elevate the level of diagnosis and treatment.Methods The type of spinal cord injury were classified into complete injury in 2 and incomplete injury in 5 according to Frankel. 5 cases had MRI examination. Conservative therapy was adopted in 5, and operation was programmed in 2.Results 4 cases recovered completely , 2 cases recovered partly , and 1 case had no recovery.Conclusion MRI provides reliable foundation for diagnosis and treatment to thoracic SCIWORA. The result is satisfactory in those incomplete injury.