Analysis of the Clinical Efficacy of Anterior Cervical Decompression and Posterior Cervical Decompression with Internal Fixation in the Treatment of Cervical Spinal Cord Injury

Yilei Zhao

Show Less

¹ Zhenjiang First People’s Hospital, Zhenjiang 212002, Jiangsu Province, China,

BAS 2023 , 1(2), 44–48; https://doi.org/10.26689/bas.v1i2.5315

© 2023 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

Abstract

This paper aims to explore the appropriate treatment plan for cervical spinal cord injury. Retrospective analysis of the treatment of 30 patients with cervical spinal cord injury in our hospital was carried out, with 15 patients treated with anterior cervical decompression and internal fixation as the study group, and 15 patients treated with posterior cervical decompression and internal fixation as the control group. There was no significant difference in postoperative and follow-up Japanese Orthopaedic Association (JOA) scores, and the incidence of postoperative complications between the two groups. The blood loss and the improvement of cervical lordosis in the study group were better than those in the control group. For patients with cervical spinal cord injury, both anterior and posterior decompression and internal fixation can achieve good clinical results, but anterior decompression and internal fixation can better maintain cervical lordosis and reduce blood loss.

References

Zhang Q, Ma Y, Wang T, et al., 2021, Anterior Cervical Subtotal Corpectomy and Bone Graft Fusion and Posterior Single Open-Door Laminoplasty in the Treatment of Multi-Level Cervical Spondylotic Myelopathy: the Impact on the Range of Motion of the Cervical Spine. Chinese Tissue Engineering Research, 25(24): 3870–3874.

Xiao F, 2022, Comparison of the Curative Effect of Posterior Single Open-Door Laminoplasty and Anterior Decompression and Fusion in the Treatment of Multi-Segment Cervical Spondylotic Myelopathy. Contemporary Medicine, 28(8): 118–120.

Tian L, Sun J, Huang S, et al., 2022, Comparison of Curative Effect of Zero-Profile Bridge Locking Fusion and Titanium Plate-Intervertebral Fusion System Anterior and Posterior Combined Surgery on Cervical Spondylotic Myelopathy. Henan Medical Research, 31(8): 1421–1425.

Yang S, 2021, Analysis of the Effect and Complications of Anterior and Posterior Decompression and Bone Graft Internal Fixation in the Treatment of Patients with Cervical Spondylotic Myelopathy. Healthy Vision, 2021(14): 214.

Zhang F, 2021, Comparison of the Effect of Anterior Decompression Surgery and Posterior Decompression Surgery in the Treatment of Multi-Segment Continuous Cervical Spondylotic Myelopathy. Contemporary Medical Forum, 19(18): 72–74.

Song S, Hou J, Zhou H, 2021, Effects of Anterior Cervical Surgery and Posterior Single-Door Laminoplasty on Postoperative Cervical Sagittal Balance Parameters for Cervical Spondylotic Myelopathy. Journal of Neck and

Lumbar Pain, 42(4): 571–573.

Li Y, Wang H, Wang Y, et al., 2010, Comparison of Curative Effect of Single-Door Posterior Approach and One-Stage Anterior-Posterior Approach Surgical Decompression Before and After Treatment of Compressed Cervical Spondylotic Myelopathy. Chinese Journal of Spinal Cord, 20(3): 197–200.

Zhang S, 2020, Comparison of the Effect of Anterior Segmental Decompression and Posterior Laminoplasty in the Treatment of Multi-Segment Cervical Spondylotic Myelopathy. Henan Medical Research, 29(17): 3162–3163.

Ma H, Li Z, Li G, et al., 2017, Comparison of the Curative Effect of Anterior Subtotal Vertebral Body Resection and Posterior Single-Door Surgery in the Treatment of Multi-Segment Cervical Spondylotic Myelopathy. Hainan Medicine, 28(2): 296–299.

Zhou Y, 2019, Comparative Analysis of the Effect of Anterior and Posterior Decompression in the Treatment of Multi-Segment Continuous Cervical Spondylotic Myelopathy. Frontiers of Medicine, 9(4): 32–33.

Previous article in this issue

Next article in this issue