A Comparative Study of Spinal Myelotomy to Preserve Limb Function at Injured Segments in Patients with Complete Paralysis after Cervical Spine Injury
Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu 210002, China
Y. Lin, Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu 210002, China, E-mail: firstname.lastname@example.org
To investigate the effect of myelotomy on limb function preservation in patients with complete paralysis after cervical spine injury. A total of 80 patients with complete paralysis due to cervical spine injury were selected in our hospital from June 2019 to March 2021. According to the surgical methods, they were divided into two groups. Group A was treated with myelotomy. Group B received dural incision and the treatment results and related indicators of the above two groups were compared. Postoperative drainage volume in group A was significantly lower than that in group B. The visual analogue score and cervical dysfunction index in group B were significantly higher than that in group A and the American Spinal Injury Association sensory and motor function scores and Fugl-Meyer scale scores increased significantly between the two groups 2 w after surgery, 1 y after surgery and the last follow-up. In addition, American Spinal Injury Association sensory and motor function scores and Fugl-Meyer scale scores in group A were significantly higher than those in group B. For patients with complete paralysis of cervical spine injury, myelotomy can achieve better recovery of neurological function and lower pain sensation and can improve the patient’s motor, sensory and limb functions, with less complications and higher safety.