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Anterior cervical surgery methods for central cord syndrome without radiographic spinal fracture-dislocation |
Chengwei JING1, Qin FU2, Xiaojun XU2() |
1. Department of Orthopedics, Second Hospital of Tianjin Medical University, Tianjin 300211, China; 2. Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang 110004, China |
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Abstract This study was aimed to explore the anterior cervical surgery methods to treat central cord syndrome without radiographic spinal fracture-dislocation (CCSWORFD), retrospectively analyze the cases of CCSWORFD, and evaluate the curative effect of anterior cervical surgery methods for CCSWORFD. Twenty four cases of CCSWORFD (19 males and 5 females), all suffering from cervical hyperextension injury, between 45-68 (average 59) years old, were operated on by anterior cervical surgery methods. Among these, 18 cases had been followed up for 6-24 (average 15) months; 18 cases, who had anterior decompression and plate fixation with titanium mesh bone grafting or iliac bone grafting achieved reliable effects based on the Japanese Orthopedics Association (JOA) evaluation (improved scores of cases with titanium mesh bone grafting, t = 2.800, P<0.05; improved scores of cases with iliac bone grafting, t = 3.270, P<0.05), and reliable reconstruction of cervical spine. The two groups obtained the same curative effect (t = 0.470, P >0.05) Most of these cases had degeneration of cervical vertebra. The decompression which relieves the oppression to the spinal cord can help lessen edema of the spinal cord, and early fixation for stability of cervical vertebra is better for the recovery of spinal cord injury. Anterior operation with titanium mesh bone grafting or iliac bone grafting are both reliable curative methods for CCSWORFD, and titanium mesh bone grafting can avoid the trauma of the supplying graft. Mesh bone grafting can also shorten hospital stay.
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Keywords
central cord syndrome
decompression, surgical
titanium mesh
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Corresponding Author(s):
XU Xiaojun,Email:dr1722@163.com
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Issue Date: 05 March 2009
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1 |
Kothari P, Freeman B, Grevitt M. Injury to the spinal cord without radiological abnormality in adult. J Bone Joint Surg Br , 2000, 839(7): 1034-1037 doi: 10.1302/0301-620X.82B7.10641
|
2 |
Quencer R M, Bunge R P, Egnor M, Green B A, Puckett W, Naidich T P, Post M J D, Norenberg M. Acute traumatic central cord syndrome: MRI-pathological correlations. Neuroradiology , 1992, 34(2): 85-94 doi: 10.1007/BF00588148
|
3 |
Newey M L, Sen P K, Fraser R D. The long-term outcome after central cord syndrome. J Bone Joint Surg Br , 2000, 82(6): 851-855 doi: 10.1302/0301-620X.82B6.9866
|
4 |
Yamazaki T, Yanaka K. Fujita K, Kamezaki T, Uemura K, Nose T. Traumatic central cord syndrome: analysis of factors affecting the outcome. Surg Neurol , 2005, 63(2): 95-99 doi: 10.1016/j.surneu.2004.03.020
|
5 |
Guest J, Eleraky M A, Apostolides P J, Dickman C A, Sonntag V K. Traumatic central cord syndrome: results of surgical management. J Neurosurg , 2002, 97(1 Suppl): 25-32
|
6 |
Das K, Could W T, Sava G, Taddonio R F. Use of cylindrical titanium mesh and locking paltes in anterior cervical fusion. J Neurosurg , 2001, 94(1): 174-178
|
7 |
Rieger A, Holz C, Marx T, Sanchin L, Menzel M. Vertebral autograft used as bone transplant for anterior cervical corpectomy. Neurosurgery , 2003, 52(2): 449-453 doi: 10.1227/01.NEU.0000043815.31251.5B
|
8 |
Narotam P K, Pauley S M, McGinn G J. Titanium mesh cages for cervical spine stabilization after corpectomy: a clinical and radiological study. J Neurosurg , 2003, 99(2 Suppl): 172-180
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