Effect of Anterior Cervical Single-cage Bone Graft Fusion Combined with Internal Fixation for the Treatment of Cervical Spinal Cord Injury without Fracture and Dislocation
QIAO Lin, ZHANG Huan, CHEN Bo,et al
Department of Orthopedics, the Third Hospital of the Chinese People's Liberation Army, Baoji, Shaanxi 721004
Abstract：【Objective】To explore the therapeutic effect of anterior cervical single-cage bone graft combined with internal fixation for the treatment of cervical spinal cord injury without fracture and dislocation. 【Methods】Retrospective analysis of the clinical data of 216 patients with cervical spinal cord injury without fracture and dislocation in our department. According to the treatment method, the patients were divided into the operation group (anterior cervical single-cage bone graft combined with internal fixation,n=120 cases) and the conservative treatment group (skull traction, nutritional nerves,n=96 cases.). The clinical effects of the two groups before and after treatment were compared. 【Results】All the 120 patients in the operation group successfully completed the operation. The operation time was (97.2±14.0) min, the amount of surgical bleeding was (128.9±77) mL, and the bone graft fusion time was (12.4±2.2) weeks. Before treatment, there were no significant differences in the scores of the American Spinal Injury Association (ASIA) and the Japan Orthopaedic Association (JOA) scores between the two groups (P>0.05). After 12-months treatment, the excellent rate of neurological function in the operation group was 63.33% (76/120), which was significantly higher than that of the conservative group 47.92% (46/96) (χ2=4.529,P<0.05). The total score of JOA in the operation group was significantly higher than that of the conservative group (P<0.05). After 12 months of follow-up, no postoperative complications such as graft non-fusion, cage translocation or subsidence, plate internal fixation displacement or loosening, fracture dislocation or loss of reduction were found in the operation group. However, secondary spinal cord injury and side effects such as stagnation or regression occurred in the conservative group. 【Conclusion】Anterior cervical single-cage bone graft combined with internal fixation for the treatment of cervical spinal cord injury is superior to the conservative non-surgical treatment in aspect of the recovery of spinal cord function and complications.
2018, Vol. 35 
