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Journal of Neurorestoratology

Authors

Jiaxin Xie, People’s Liberation Army Clinical Center for Spinal Cord Injury, Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China
Xunding Deng, People’s Liberation Army Clinical Center for Spinal Cord Injury, Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China
Yu Feng, People’s Liberation Army Clinical Center for Spinal Cord Injury, Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China
Ning Cao, People’s Liberation Army Clinical Center for Spinal Cord Injury, Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China
Xin Zhang, People’s Liberation Army Clinical Center for Spinal Cord Injury, Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China
Fang Fang, People’s Liberation Army Clinical Center for Spinal Cord Injury, Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China
Shemin Zhang, People’s Liberation Army Clinical Center for Spinal Cord Injury, Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China
Yaping Feng, People’s Liberation Army Clinical Center for Spinal Cord Injury, Department of Neurosurgery, The 920th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China

Keywords

spinal cord injury, decompression, microsurgery

Abstract

Objective:To introduce a novel intradural microsurgery method for acute spinal cord injury, while evaluating the safety and effect.Methods:87 patients with complete spinal cord injury were enrolled and treated with the novel intradural microsurgery within 48 h, in addition to traditional surgical interventions (internal fixation, laminectomy).Results:Complications including massive hemorrhage, infection and impairment aggravation did not occur during and after surgery. There were 16 cases of B grade, 13 cases of C grade, 6 cases of D grade base on the ASIA impairment scale 3 months after surgery, and average 18.51 increase in motor score, 16.64 increase in light touch score, 17.12 increase in pin prick score were achieved.Conclusions:Early intradural microsurgery is safe, causing no neurological function lost and no major adverse event, and it is associated with neurologic improvement in patients with severe spinal cord injury.

Publisher

Tsinghua University Press

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