PMID- 23860672
OWN - NLM
STAT- MEDLINE
DCOM- 20140515
LR  - 20130918
IS  - 1434-3916 (Electronic)
IS  - 0936-8051 (Linking)
VI  - 133
IP  - 10
DP  - 2013 Oct
TI  - Does laminoplasty really improve neurological status in patients with cervical 
      spinal cord injury without bone and disc injury? A prospective study about 
      neurological recovery and early complications.
PG  - 1401-5
LID - 10.1007/s00402-013-1810-x [doi]
AB  - PURPOSE: Cervical spinal cord injury without bone and disc injury in patients 
      with spinal cord compression is a fairly common problem in Japan. Because elderly 
      Japanese population tend to have cervical spinal canal stenosis. However, there 
      has been no consensus in the treatment of these patients. We conducted a 
      prospective study to evaluate treatment outcomes and complications of these 
      patients. METHODS: Twenty-five patients had been enrolled in this study. Patients 
      who had paralysis of ASIA impairment scale (AIS) A, B or C were included. With 
      each new patient, we alternated whether he/she received surgical treatment (group 
      S) or conservative treatment (group C). Eleven patients were assigned to each 
      group. We compared the two groups' courses of treatment and complications by 
      evaluating their neurological symptoms using the AIS and ASIA motor score (MS) 
      documenting them at the time of injury and 3 months later. RESULTS: The majority 
      of clinical paralysis was found at the C3/4 level for both the groups. According 
      to complications, there were seven urinary tract infections and four pneumonias 
      in group S and one urinary tract infection and three pneumonias in group C. Both 
      groups had an average MS of 42 at the time of injury. Three months later, the 
      average MSs were 59 points in group S and 65 points in group C. CONCLUSIONS: In 
      the present study, we found no significant difference in paralysis improvement 
      between surgical and conservative treatment, although we observed a higher 
      frequency of complications with surgery.
FAU - Mazaki, Tetsuro
AU  - Mazaki T
AD  - Department of Orthopaedic Surgery, Okayama University Graduate School of 
      Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho Kita-ku, 
      Okayama, 700-8558, Japan, tetsuromazaki@yahoo.co.jp.
FAU - Ito, Yasuo
AU  - Ito Y
FAU - Sugimoto, Yoshihisa
AU  - Sugimoto Y
FAU - Koshimune, Koichiro
AU  - Koshimune K
FAU - Tanaka, Masato
AU  - Tanaka M
FAU - Ozaki, Toshifumi
AU  - Ozaki T
LA  - eng
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
DEP - 20130717
PL  - Germany
TA  - Arch Orthop Trauma Surg
JT  - Archives of orthopaedic and trauma surgery
JID - 9011043
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cervical Vertebrae
MH  - Female
MH  - Humans
MH  - *Laminectomy
MH  - Male
MH  - Middle Aged
MH  - Paralysis/etiology
MH  - Postoperative Complications
MH  - Prospective Studies
MH  - Spinal Cord Compression/complications
MH  - Spinal Cord Injuries/etiology/*surgery/therapy
MH  - Spinal Stenosis/complications
MH  - Treatment Outcome
EDAT- 2013/07/19 06:00
MHDA- 2014/05/16 06:00
CRDT- 2013/07/18 06:00
PHST- 2013/01/16 00:00 [received]
PHST- 2013/07/18 06:00 [entrez]
PHST- 2013/07/19 06:00 [pubmed]
PHST- 2014/05/16 06:00 [medline]
AID - 10.1007/s00402-013-1810-x [doi]
PST - ppublish
SO  - Arch Orthop Trauma Surg. 2013 Oct;133(10):1401-5. doi: 10.1007/s00402-013-1810-x. 
      Epub 2013 Jul 17.