Zhen Liu1, Xin Wang2, Lisha Ji3*
1Department of Spine Surgery, Qingdao Municipal Hospital, Qingdao, 266000, PR China - 2Department of Pediatric, Qingdao Municipal Hospital, Qingdao, 266000, PR China - 3Department of Endoscopy Room, Qingdao Municipal Hospital, Qingdao, 266000, PR China
Introduction: It was to explore the effect of anterior and posterior fusion therapy assisted by microscopy on fracture and dislocation of the lower cervical spine and to analyze the effect of nursing intervention.
Materials: Eighty patients with fracture and recurrence of the lower cervical spine complicated with spinal cord injury were retrospectively analyzed. The microscope group was the observation group (N=40), while the microscope-free group was the control group (N=40).
Methods: Patients were followed up to compare the Japanese Orthopedic Association (JOA) score, visual analog scale (VAS) score, and the improvement of neurological function. The nursing satisfaction and complication rates were compared.
Results: The cervical JOA score and VAS score in the observation group were remarkably superior to those in the control group (P<0.05). The neurological function of observation group recovered well after the operation and was better versus control group (P<0.05). The operation time of observation group was 212.6±5.81min and that of control group was 239.7±6.93min. The intraoperative blood loss in observation group was lower versus control group (P<0.05). The postoperative improvement rate and patient satisfaction of observation group were remarkably superior to those of control group.
Conclusion: The effects of anterior and posterior fusion therapy were significant, and the pain of the patients was reduced. The neurospinal function of the patients was improved, and the safety was high. The postoperative recovery was rapid, and the efficacy was significant and safe.
microscope assist, cervical spine, fracture dislocation, anterior and posterior, nursing intervention.