Indian Journal of Orthopaedics, 2023 · DOI: 10.1007/s43465-023-00854-1 · Published: March 28, 2023
Cervical spinal cord injury without vertebral fracture or dislocation (CSCI) is a condition where neurological deficits occur in the spinal cord without any bone damage. This study compares two surgical techniques, posterior hybrid technique (PHT) and anterior decompression and fusion (ADF), for treating CSCI patients with high signal intensity on T2-weighted MRI (CSCIH). The study aimed to determine if PHT is an effective treatment option and whether it is superior to ADF in improving patients' health-related quality of life and preserving cervical range of motion.
PHT can be considered as an effective alternative to ADF for treating CSCIH, especially when long-term quality of life and cervical range of motion are prioritized.
Rehabilitation programs should focus on maximizing cervical range of motion, particularly for patients undergoing ADF, to address the limitations observed in this study.
Larger, multi-center studies with longer follow-up periods are needed to validate these findings and explore the potential benefits of PHT in specific patient subgroups.