Abstract:

With the rapid development of society, the incidence of spinal cord injury (SCI) is increasing year by year, and the treatment is very difficult with a high disability rate. Correct prehospital first aid transportation can greatly reduce secondary injury of spinal cord caused by improper transportation. Early application of high dose methylprednisolone, internal fixation by using screw-rod system, as well as intramedually and extramedually decompression can protect the residual neurological function of spinal cord. Early drug treatment and rehabilitation training can promote the recovery of neurological function of spinal cord injury. Neurosurgeons have certain advantages in intramedullary and extramedually decompression on spinal cord injury.

Key words: Spinal cord injuries, Neurosurgery, Review

摘要：

随着社会快速发展，脊髓损伤发病率逐年升高，治疗难度大、病残率高。正确的院前急救搬运可以显著降低因搬运不当导致的脊髓二次损伤。早期应用大剂量甲泼尼龙冲击治疗、钉棒系统内固定术、髓内外减压术等以保护脊髓残留功能。早期药物治疗和康复训练能够促进脊髓损伤的神经功能恢复。神经外科开展脊髓损伤的髓内外减压术具有一定优势。

关键词: 脊髓损伤, 神经外科（学）, 综述