老年急性颈中央脊髓损伤综合征的非手术治疗

Conservative Treatment of Cervical Acute Central Cord Syndrome in the Elderly

目的 评价保守疗法对老年人低能量颈部损伤所致急性中央脊髓综合征的效果。方法 对 9例年龄 6 1～ 82岁的老年急性颈中央脊髓损伤综合征 (acutecentralcordsyndrom ,ACCS)患者的临床资料进行回顾性分析并对其保守治疗的结果进行评价。结果 病人随访时间为 3～ 2 1个月 ,平均 14个月。治疗结束后 6周、6个月和 1年的运动功能改善率分别为 7.1% ,14.2 %和 2 9.4% ;感觉功能改善率分别为 2 2 .4%、31.6 %和 35 .0 %。

Objective To evaluate the effect of the conservative treatment of cervical acute central cord syndrome(ACCS) developed after low-energy injury of neck in the elderly.Methods The clinical profile of 9 elderly patients aged between 61 and 82 years with cervical ACCS was retrospectively reviewed and the result of the conservative treatment, evaluated.Results The patients were followed up for 3 to 21 months, with a mean of 14 months. The rate of improvement of motor function at 6 weeks, 6 months and 1 years after the completion of conservative treatment was 7.1%, 14.2% and 29.4%, respectively. The rate of improvement of sensory function at 6 weeks, 6 months and 1 year after treatment were 22.4%, 35.0% and 31.6%, respectively. Conclusion Conservative treatment is appropriate and effective for the elderly with cervical ACCS secondary to low-energy neck injury.