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Effect of Decompression Surgery on Neurological Recovery after Cervical Cord Injury with Canal Stenosis but Without Distinct Bony Damage : Multicenter Prospective Randomized Clinical Trial Takayoshi Ueta 1 , Osamu Kawano 1 1Department of Orthopaedic Surgery, Spinal Injuries Center Keyword: no bony type cervical cord injury , 非骨傷性頚損 , prospective randamized clinical trial , 前向き無作為臨床研究 , surgical effect , 手術効果 pp.467-472
Published Date 2006/4/1
DOI https://doi.org/10.11477/mf.1408100301
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 A prospective randomized clinical trial examining the effects of decompession surgery on neurological recovery in patients with cervical cord injuries without remarkable bony damages was performed at 11 hospitals nationwide in Japan. Cases admitted within 14 days of injury, with a Frankel B or C classification, and with ≧20% compression of the spinal cord at the injured level, as seen on MRI, were enrolled. Decompression surgery was selected for cases in which the day of injury was an odd number, while conservative treatment was selected for all other cases. The Frankel classification and ASIA motor scores were followed for one year after injury. No statistically significant differences in neurological recovery were observed between the surgery group and the conservative treatment group.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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