Treatment experience of 107 cases of non-fracture and dislocation injury of cervical spinal cord

Objective To investigate the treatment of non-fracture and dislocation injury of cervical spinal cord and the relationship between the timing of surgery and the clinical results.Methods The therapeutic effects of 107 patients treated with conservative treatment and operative treatment in the management of non-fracture and dislocation injury of cervical spinal cord.Early surgery (within 3 d of injury) was performed for 12 patients and delayed surgery (after 3 days of injury) for 27 patients.The effects of the timing of surgery on the clinical results were evaluated.Results The myeloid functional recovery was poor in patients treated with conservative means but good in those treated with operation.There were significant differences in outcomes between the two groups (P ＜ 0.05 ).The early operative group got better nerve function than the delayed operative group,and the difference between the two groups was significant statistically (P ＜ O.05).Conclusions Non-fracture and dislocation injury of cervical spinal cord should be operated early. Key words: Cervical vertebra; Spinal cord injury; Conservative treatment; Operative timing; Efficacy