《中国康复理论与实践》

《中国康复理论与实践》

• 临床观察 • 上一篇    下一篇

过屈型颈椎损伤并发前部脊髓综合征的围手术期康复效果①

张军军，张艳，程谭，赵兵，周钱宏，卢占斌，黄玉国，陈先   

  1. 河北省唐山市第二医院脊柱三科，河北唐山市063000。
  • 出版日期:2016-05-25 发布日期:2016-07-04

Effects of Perioperative Rehabilitation on Anterior Spinal Cord Syndrome after Cervical Hyperflexion Injury

ZHANG Jun- jun, ZHANG Yan, CHENG Tan, ZHAO Bing, ZHOU Qian- hong, LU Zhan- bin, HUANG YU- guo, CHEN Xian   

  1. The Second Hospital of Tangshan, Tangshan, Hebei 063000, China
  • Published:2016-05-25 Online:2016-07-04

PDF (PC)

摘要： 目的探讨过屈型颈椎损伤并发前部脊髓损伤综合征的围手术期康复效果。方法2012 年1 月~2014 年12 月收治的过屈型颈椎损伤并发前部脊髓综合征患者69 例，其中手术前后接受系统性康复者32 例(A 组)，未接受系统性康复者37 例(B 组)。观察术前及术后1 年随访时日本骨科协会(JOA)评分。结果所有患者均成功实施手术。术后1 年JOA评分A组优于B组(t=2.538, P=0.044)。结论过屈型颈椎损伤并发前部脊髓损伤综合征患者结合系统性康复治疗，可以获得更好的临床疗效。

关键词: 脊髓损伤, 颈椎过屈, 前部脊髓综合征, 手术, 康复

Abstract: Objective To observe the effect of perioperative rehabilitation on anterior spinal cord syndrome caused by cervical hyperflexion injury. Methods Sixty-nine inpatients with anterior spinal cord syndrome after cervical hyperflexion injury from January, 2012 to December, 2014 were reviewed. 32 cases (group A) accepted systematic rehabilitations and other 37 cases (group B) did not. They were assessed with Japanese Orthopaedic Association (JOA) scores preoperatively and 1-year follow-up. Results All the patients succeeded in the operation. The JOA score improved more 1 year follow-up in group A than group B (t=2.538, P=0.044). Conclusion Systematic rehabilitation may work in the management of anterior spinal cord syndrome after cervical hyperflexion injury.

Key words: spinal cord injury, cervical hyperflexion, anterior spinal cord syndrome, operation, rehabilitation