EFFECTIVENESS OF SURGICAL TREATMENT FOR SPINAL CORD INJURY WITHOUT RADIOGRAPHIC EVIDENCE OF TRAUMA IN GERIATRIC PATIENTS

DOI
  • OAE Kazunori
    Department of Musculoskeletal Traumatology and Reconstructive Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University
  • INOKUCHI Koichi
    Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University
  • MORII Hokuto
    Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University
  • UEDA Yasuhisa
    Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University
  • YAHATA Tadashi
    Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University
  • TAKAHASHI Tsubasa
    Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University
  • MATSUDA Hiromi
    Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University
  • KASAHARA Tomoki
    Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University
  • TANUMA Yuta
    Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University

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Other Title
  • 高齢者の非骨傷性頸髄損傷に対する積極的手術療法

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Abstract

<p>　　Objectives : We report the outcomes of aggressive early surgical treatment for spinal cord injury without radiographic evidence of trauma (SCIWORET) in geriatric patients. Methods : SCIWORET patients with an American Spinal Injury Association Impairment Scale (AIS) grade of A to C and magnetic resonance imaging-confirmed spinal cord compression were included in this study. Decompression surgery was performed as early as possible. Results : Fifty-nine patients with SCIWORET were included and 57 underwent decompression surgery. The mean age was 78.2 years. There were 13 patients with AIS grade A, 8 with grade B, and 36 with grade C. The median time from injury to surgery was 9 hours and the median hospital stay was 46 days. The in-hospital mortality rate was 8.8% (5/57). Forty patients (70.2%) improved by at least 1 AIS grade during hospitalization and 7 (12.3%) improved by at least 2 grades. Conclusion : Even in geriatric patients, early surgery can reduce mortality and improve the functional prognosis.</p>

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