无放射学创伤证据的脊髓损伤患者神经功能迅速恶化后减压手术的结果。

IF 0.6 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Acta medica Okayama Pub Date : 2025-08-01 DOI:10.18926/AMO/69151

Yuichi Hirata, Chiaki Sugahara, Susumu Sasada, Hayato Miyake, Takayuki Nagase, Takao Yasuhara, Shota Tanaka

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引用次数: 0

摘要

脊髓型颈椎病（CSM）和后纵韧带骨化（OPLL）增加了脊髓损伤的可能性，而没有影像学创伤证据（SCIWORET）。然而，对于此类病例的最佳手术时机，意见不一。我们回顾性调查了在经历神经系统快速恶化后不久接受手术的SCIWORET患者的人口统计学和结果，我们匹配了接受CSM或OPLL备用手术的患者。尽管SCIWORET的最佳手术时机尚不清楚，但我们的研究结果表明，早期SCIWORET手术可能会产生有利的神经系统改善。

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Outcome of Decompression Surgery Following Rapid Neurological Deterioration in Patients with Spinal Cord Injury Without Radiographic Evidence of Trauma (SCIWORET).

Cervical spondylotic myelopathy (CSM) and ossification of the posterior longitudinal ligament (OPLL) increase the likelihood of spinal cord injury without radiographic evidence of trauma (SCIWORET). Opinions regarding the optimal timing for surgery in such cases vary, however. We retrospectively investigated the demographics and outcomes of patients with SCIWORET who underwent surgery shortly after experiencing rapid neurological deterioration, and we matched patients who underwent standby surgery for CSM or OPLL. Although the optimal timing of surgery for SCIWORET remains unclear, our findings suggest that early stage surgery for SCIWORET may yield favorable neurological improvements.

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来源期刊

Acta medica Okayama 医学-医学：研究与实验

CiteScore

1.00

自引率

0.00%

发文量

110

审稿时长

6-12 weeks

期刊介绍： Acta Medica Okayama (AMO) publishes papers relating to all areas of basic and clinical medical science. Papers may be submitted by those not affiliated with Okayama University. Only original papers which have not been published or submitted elsewhere and timely review articles should be submitted. Original papers may be Full-length Articles or Short Communications. Case Reports are considered if they describe significant and substantial new findings. Preliminary observations are not accepted.