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首页> 外文期刊>Open Journal of Urology >Spinal Cord Injuries without Visible Bone Lesions: Analysis of Four Consecutive Cases
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Spinal Cord Injuries without Visible Bone Lesions: Analysis of Four Consecutive Cases

机译：无可见骨病变的脊髓损伤：连续4例分析。

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Objectives: Interest of this study is to report four cases of spinal cord injuries without bone lesion. Evolution of the injured patients according to the initial clinic assessment at admission and the treatment performed are discussed. Materials and Methods: From January to December 2016, we performed a retrospective study at the Neurosurgery Department of Hospital General Grand Yoff of Dakar. Four patients were followed for spinal cord injury without visible bone lesions. We analyzed the clinical, radiological, therapeutic and evolutionary data. Trauma caused by stabbing was excluded. Results: In a year, 83 cases of spinal trauma with neurological deficit were hospitalized in the department. Among them, 4 had spinal cord injuries without visible bone lesions. The average age was 31.7 years with extremes ranging from 14 to 47 years. The sex ratio of male/female was 3. We have recorded 2 cases of road traffic accidents, 1 case of fall from height and 1 case of sports accident. On the neurological level, we found 3 cases of tetraplegia, and 1 brachial monoplegia. Computed tomography in all patients was normal. All of them benefited from magnetic resonance imaging that showed spinal cord injury. All patients were under conservative treatment. One patient fully recovered, two partially and one passed away. Conclusion: In presence of any post traumatic myelopathy case, the absence of disco-vertebral lesions should bring to mind the SCIWORA as well as indicate the realization of magnetic resonance imaging.
机译：目的：本研究的目的是报告4例无骨病变的脊髓损伤病例。讨论了根据入院时的初始临床评估评估受伤患者的病情演变以及所进行的治疗。 材料与方法：2016年1月至12月，我们在达喀尔总医院大Yoff医院神经外科进行了一项回顾性研究。随访四例脊髓损伤，无可见骨损伤。我们分析了临床，放射，治疗和进化数据。刺伤引起的创伤被排除在外。 结果：一年中，该科住院了83例神经外伤性脊柱外伤。其中4例脊髓损伤，无可见的骨病变。平均年龄为31.7岁，极端年龄为14至47岁。男女性别比为3。我们记录了2例道路交通事故，1例高处摔倒和1例运动事故。在神经学水平上，我们发现了3例四肢瘫痪和1例臂性瘫痪。所有患者的计算机断层扫描均正常。他们所有人都受益于显示脊髓损伤的磁共振成像。所有患者均接受保守治疗。一名患者完全康复，两名患者部分康复，另一例死亡。 结论：在发生任何创伤后脊髓病的病例中，不存在椎间盘病变的情况应引起SCIWORA的注意，并表明磁共振成像的实现。

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