Damage control of multiple injuries headed by cervical spinal cord injury
| Autor: | Quan-yin Du, Si-hai Liu, Yu-feng Zhao, Ziming Wang, Qing-shan Guo, Yue Seen, Ai-min Wang |
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| Rok vydání: | 2008 |
| Předmět: |
Damage control
Adult Male medicine.medical_specialty Adolescent Quadriplegia Medicine Humans Hernia Orthopedics and Sports Medicine Hemopneumothorax Tetraplegia Emergency Treatment Spinal Cord Injuries Retrospective Studies business.industry Multiple Trauma Middle Aged medicine.disease Surgery Pulmonary contusion Intervertebral disk medicine.anatomical_structure Pelvic fracture Cervical Vertebrae Female business Cervical vertebrae |
| Zdroj: | Chinese Journal of Traumatology (English Edition). 11(1):45-48 |
| ISSN: | 1008-1275 |
| DOI: | 10.1016/s1008-1275(08)60010-3 |
| Popis: | Objective To explore the strategy of damage control in clinical treatment of multiple injuries headed by cervical spinal cord injury. Methods 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. Results 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. Conclusions 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. |
| Databáze: | OpenAIRE |
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