CAJ | 학술논문

目的：探讨早期手术治疗在颈椎过伸性损伤治疗中的临床效果。方法选取2005年12月至2013年1月治疗的48例过伸性颈椎颈髓损伤患者，对35例接受手术治疗的病例资料进行回顾性分析。结果经6.5~18个月（平均12.5个月）的随访，所有病例均获得骨性愈合。神经功能按Frankel分级：术前A级2例、B级6例、C级22例、D级5例；术后A级1例、B级4例、C级5例、D级10例、E级15例。结论颈椎过伸性损伤早期手术治疗可获得良好的临床效果。
목적：탐토조기수술치료재경추과신성손상치료중적림상효과。방법선취2005년12월지2013년1월치료적48례과신성경추경수손상환자，대35례접수수술치료적병례자료진행회고성분석。결과경6.5~18개월（평균12.5개월）적수방，소유병례균획득골성유합。신경공능안Frankel분급：술전A급2례、B급6례、C급22례、D급5례；술후A급1례、B급4례、C급5례、D급10례、E급15례。결론경추과신성손상조기수술치료가획득량호적림상효과。
Objective To investigate the clinical effect of early surgery in the treatment of cervical hyperextension injury.Method 48 cases of cervical hyperextension injury from 2005 December to 2013 January in our hospital,of which 35 patients underwent operation treatment , were retrospectively analyzed. Result After 6.5-18 months(average 12.5 months)follow-up,all cases obtained bone healing. The postoperative neurological function by Frankel classification are as follows:1 cases of Grade A, 4 cases of grade B, 5 cases of grade C, 10 cases of grade E, and 15cases of grade D, compared with 2 cases of Grade A, 6 cases of grade B, 22 cases of grade C, 5 cases of grade D pre-operatively. Conclusion Early surgery in patients with cervical hyperextension injury can achieve good clinical effect.