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首页> 外文期刊>Einstein (So Paulo) >Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression?
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Is there a right time for surgery in paraplegic patients secondary to non traumatic spinal cord compression?

机译：非创伤性脊髓压迫继发截瘫患者是否有合适的手术时间？

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摘要

Paraplegia is a well-defined state of complete motor deficit in lower limbs, regardless of sensory involvement. The cause of paraplegia usually guides treatment, however, some controversies remain about the time and benefits for spinal cord decompression in nontraumatic paraplegic patients, especially after 48 hours of the onset of paraplegia. The objective of this study was to evaluate the benefits of spinal cord decompression in such patients. We describe three patients with paraplegia secondary to non-traumatic spinal cord compression without sensory deficits, and who were surgically treated after more than 48 hours of the onset of symptoms. All patients, even those with paraplegia during more than 48 hours, had benefits from spinal cord decompression like recovery of gait ability. The duration of paraplegia, which influences prognosis, is not a contra-indication for surgery. The preservation of sensitivity in this group of patients should be considered as a positive prognostic factor when surgery is taken into account.
机译：截瘫是下肢完全运动功能障碍的明确状态，与感觉障碍无关。截瘫的病因通常指导治疗，但是，对于非创伤性​​截瘫患者，尤其是在截瘫发作48小时后，脊髓减压的时间和益处尚存争议。这项研究的目的是评估在此类患者中脊髓减压的益处。我们描述了三例因非创伤性脊髓受压继发截瘫而无感觉缺陷的患者，这些患者在症状发作超过48小时后接受了手术治疗。所有患者，甚至那些截瘫时间超过48小时的患者，都受益于脊髓减压，如步态恢复。截瘫的持续时间并不影响手术的禁忌症，因为截瘫的持续时间会影响预后。当考虑手术时，在这一组患者中保持敏感性应被认为是阳性的预后因素。

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