Damage control of multiple injuries headed by cervical spinal cord injury / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 45-48, 2008.
Article
en En
| WPRIM
| ID: wpr-236735
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the strategy of damage control in clinical treatment of multiple injuries headed by cervical spinal cord injury.</p><p><b>METHODS</b>A retrospective analysis was performed in 32 patients. Cervical fractures associated with tetraplegia occurred in 18 patients, traumatic intervertebral disk hernia associated with tetraplegia in 2 patients, and cervical fractures and dislocation associated with tetraplegia in 12 patients. Seventeen cases were combined with craniocerebral injury, 7 combined with pulmonary contusion, multi-fractures of rib or hemopneumothorax, 2 combined with pelvic fracture and other 8 combined with fracture of limbs. The neural function was assessed by the American Spinal Injury Association (ASIA) scale.</p><p><b>RESULTS</b>Thirty-one patients were followed up for an average of 14 months. Of them, 10 got complete recovery, 13 obtained improvement of more than one ASIA grade, 8 did not improve, and 1 died.</p><p><b>CONCLUSIONS</b>For the emergency treatment of multiple injuries headed by cervical spinal cord injury, the damage control strategy is the principle to follow. The final operations are preferably performed within 5 to 10 days after injury so as to raise the successful rate of remedy.</p>
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Índice:
WPRIM
Asunto principal:
Cuadriplejía
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Traumatismos de la Médula Espinal
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Cirugía General
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Heridas y Lesiones
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Traumatismo Múltiple
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Vértebras Cervicales
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Estudios Retrospectivos
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Tratamiento de Urgencia
Tipo de estudio:
Observational_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Chinese Journal of Traumatology
Año:
2008
Tipo del documento:
Article