A case-control study:the clinical efficacy of total laminectomy with lateral mass screw fixation and single open-door laminoplasty for cervical spinal cord injury without fracture and dislocation

• Published in: Zhongguo gu shang Vol. 35; no. 2; p. 136
• Main Authors: Li, Qiu-Wei, Wang, Lin, Wang, Hong
• Format: Journal Article
• Language: Chinese
• Published: China 25.02.2022
• Subjects: Adult; Aged; Aged, 80 and over; Bone Screws; Case-Control Studies; Cervical Cord - surgery; Cervical Vertebrae - surgery; Female; Humans; Laminectomy - methods; Laminoplasty - methods; Male; Middle Aged; Retrospective Studies; Treatment Outcome; Case-control studies; Cervical spinal cord injury without fracture and dislocation; Spinal cord injuries; Decompression
• ISSN: 1003-0034
• DOI: 10.12200/j.issn.1003-0034.2022.02.009

To compare the clinical effects of total laminectomy with lateral mass screw fixation and single open-door laminoplasty in the treatment of cervical spinal cord injury without fracture and dislocation. The clinical data of 75 patients with cervical spinal cord injury without fracture and dislocation treated from December 2014 to April 2020 were retrospectively analyzed, including 65 males and 10 females, aged from 33 to 83 years old with an average of (60.1±11.4) years. According to surgical method, the patients were divided into observation group (36 cases) and control group (39 cases). The observation group was treated with C -C single open-door laminoplasty. In the control group, the C -C whole lamina was opened by "uncovering", and the lateral mass screw was fixed and fused. The general conditions including operation time, intraoperative blood loss, hospital stay and complications such as axial pain, cerebrospinal fluid leakage, postoperative C nerve palsy were recorded. Visual analogue scale(VAS), Nurick