Cargando…

Outcomes of Patients with Cervical Spinal Cord Injury Treated by Surgery and Their Prognostic Factors

OBJECTIVE: To investigate the outcomes of patients with cervical spinal cord injury treated by surgery and their prognostic factors. METHODS: We retrospectively analyzed 139 patients with cervical spinal cord injury treated by surgery at our hospital, who were admitted between January 2017 and Decem...

Descripción completa

Detalles Bibliográficos
Autores principales: Wu, Xinfeng, Song, Qingpeng, Jin, Peihao, Liu, Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986444/
https://www.ncbi.nlm.nih.gov/pubmed/35401787
http://dx.doi.org/10.1155/2022/8720290
_version_ 1784682547484033024
author Wu, Xinfeng
Song, Qingpeng
Jin, Peihao
Liu, Bo
author_facet Wu, Xinfeng
Song, Qingpeng
Jin, Peihao
Liu, Bo
author_sort Wu, Xinfeng
collection PubMed
description OBJECTIVE: To investigate the outcomes of patients with cervical spinal cord injury treated by surgery and their prognostic factors. METHODS: We retrospectively analyzed 139 patients with cervical spinal cord injury treated by surgery at our hospital, who were admitted between January 2017 and December 2018. Depending on the Barthel index at last follow-up, the patients were divided into the recovery group (n = 60, Barthel index > 45) and the nonrecovery group (n = 79, Barthel index ≤ 45). General information of patients in the two groups was compared. The significant factors were further introduced into the logistic regression model. The poor prognostic factors of cervical spinal cord injury treated by surgery were analyzed, and specific nursing measures were taken. RESULTS: There were significant differences in the duration of injury before admission, duration of injury before surgery, transportation and protection before admission, spinal canal invasion rate, and hormonal therapy within 8 h after injury between the patients achieving good postoperative recovery and those not (P < 0.05). Logistic regression analysis showed that all the factors above were prognostic factors for cervical spinal cord injury treated surgically. CONCLUSION: The duration of injury before admission, duration of injury before surgery, transportation and protection before admission, spinal canal invasion rate, and hormonal therapy within 8 h after injury were prognostic factors of patients with cervical spinal cord injury treated by surgery. The following factors should be considered for favorable outcomes: spinal protection during transportation to hospital, timely hormonal shock therapy to delay injury progression, and timely surgery to relieve pain. The spine is composed of cervical, thoracic, lumbar, sacral, and caudal vertebrae.
format Online
Article
Text
id pubmed-8986444
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-89864442022-04-07 Outcomes of Patients with Cervical Spinal Cord Injury Treated by Surgery and Their Prognostic Factors Wu, Xinfeng Song, Qingpeng Jin, Peihao Liu, Bo Appl Bionics Biomech Research Article OBJECTIVE: To investigate the outcomes of patients with cervical spinal cord injury treated by surgery and their prognostic factors. METHODS: We retrospectively analyzed 139 patients with cervical spinal cord injury treated by surgery at our hospital, who were admitted between January 2017 and December 2018. Depending on the Barthel index at last follow-up, the patients were divided into the recovery group (n = 60, Barthel index > 45) and the nonrecovery group (n = 79, Barthel index ≤ 45). General information of patients in the two groups was compared. The significant factors were further introduced into the logistic regression model. The poor prognostic factors of cervical spinal cord injury treated by surgery were analyzed, and specific nursing measures were taken. RESULTS: There were significant differences in the duration of injury before admission, duration of injury before surgery, transportation and protection before admission, spinal canal invasion rate, and hormonal therapy within 8 h after injury between the patients achieving good postoperative recovery and those not (P < 0.05). Logistic regression analysis showed that all the factors above were prognostic factors for cervical spinal cord injury treated surgically. CONCLUSION: The duration of injury before admission, duration of injury before surgery, transportation and protection before admission, spinal canal invasion rate, and hormonal therapy within 8 h after injury were prognostic factors of patients with cervical spinal cord injury treated by surgery. The following factors should be considered for favorable outcomes: spinal protection during transportation to hospital, timely hormonal shock therapy to delay injury progression, and timely surgery to relieve pain. The spine is composed of cervical, thoracic, lumbar, sacral, and caudal vertebrae. Hindawi 2022-03-30 /pmc/articles/PMC8986444/ /pubmed/35401787 http://dx.doi.org/10.1155/2022/8720290 Text en Copyright © 2022 Xinfeng Wu et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Wu, Xinfeng
Song, Qingpeng
Jin, Peihao
Liu, Bo
Outcomes of Patients with Cervical Spinal Cord Injury Treated by Surgery and Their Prognostic Factors
title Outcomes of Patients with Cervical Spinal Cord Injury Treated by Surgery and Their Prognostic Factors
title_full Outcomes of Patients with Cervical Spinal Cord Injury Treated by Surgery and Their Prognostic Factors
title_fullStr Outcomes of Patients with Cervical Spinal Cord Injury Treated by Surgery and Their Prognostic Factors
title_full_unstemmed Outcomes of Patients with Cervical Spinal Cord Injury Treated by Surgery and Their Prognostic Factors
title_short Outcomes of Patients with Cervical Spinal Cord Injury Treated by Surgery and Their Prognostic Factors
title_sort outcomes of patients with cervical spinal cord injury treated by surgery and their prognostic factors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8986444/
https://www.ncbi.nlm.nih.gov/pubmed/35401787
http://dx.doi.org/10.1155/2022/8720290
work_keys_str_mv AT wuxinfeng outcomesofpatientswithcervicalspinalcordinjurytreatedbysurgeryandtheirprognosticfactors
AT songqingpeng outcomesofpatientswithcervicalspinalcordinjurytreatedbysurgeryandtheirprognosticfactors
AT jinpeihao outcomesofpatientswithcervicalspinalcordinjurytreatedbysurgeryandtheirprognosticfactors
AT liubo outcomesofpatientswithcervicalspinalcordinjurytreatedbysurgeryandtheirprognosticfactors