| Objective:The purpose of this study was to explore the influencal factors which affect the curative effect of non-bone fracture dislocation cervical spinal cord injury and provide a guidance for further clinical practice to improve the survival quality.Methods:The 84 patients were selected out from the General hospital of Jincheng coal industry group during January,2004 to June,2009. Explored the effects of those factors such as spinal cord function, treatment options, the time from injury to surgery, whether formal rehabilitation training. The survival qualities were assessed by health investigation questionnaire (SF-36 scale) and JOA 17 points score. From JOA score, Physiological Function, Physical Function, Bodily Pain, General Health, Vitality,Social Function, Emotional Function and Mental Health of nine dimensions above four factors on study without fracture dislocation type cervical spinal cord injury patients survival quality.The data were analyzed by Statistical Package For Social Science (SPSS) 13.0.Results:Single factor analysis results were as follows:1. Complete paralysis of limbs occurred once, but with the body of on the end of the spinal cord, showing incomplete paralysis of the limbs were improved spinal cord function was 61.85%±19.17%, limb numbness, weakness, paralysis does not completely improve the rate of spinal cord function 55.19%±18.00%, upper limb numbness and weakness, but complete paralysis of both lower extremities to improve spinal cord function was 37.48%±12.88%, compared three groups of spinal cord function to improve the value of the difference was significant (F=5.146 P＜0.05).General Health (F=3.177, P<0.05) and Mental Health (F= 3.726,P<0.05) difference between scores were statistically significant.2. From injury to operation time in February to improve spinal cord function in patients was 76.59%±15.85%, From injury to operation time from 2 to 12 months to improve the patient's spinal cord function was 70.71%±13.53%, time from injury to surgery; in December of the patient's spinal cord function to improve the rate of 54.43%±7.33%. Three groups of spinal cord function improved the value of the difference was significant (F=4.201, P<0.05). Physical Functioning(F= 3.640, P<0.05),Role-Physical (F=9.483,P<0.05)and General Health (F= 5.901,P< 0.05) the difference were statistically significant.3. Formal rehabilitation of spinal cord function improvement in patients was 63.67%±18.42% did not receive formal rehabilitation of spinal cord function improvement in patients was 53.98%±19.27% between the two groups of spinal cord function improved with statistical significance (t=2.349, P<0.05). Physical Functioning(t= 2.462, P<0.05), Bodily Pain (t=2.412, P＜0.05), General Health (t=2.737, P＜0.05), Social Functioning (t=2.734, P<0.05), Role-Emotional(t=4.841, P<0.05), Mental Health (t=7.211, P＜0.05) scores the difference were statistically significant.4. Surgical treatment of patients with spinal cord function improvement was 66.39%±15.09% conservative treatment of spinal cord function in patients with improved rate of 38.56%±16.39%; between the two groups of spinal cord function improved with statistical significance (t=6.731, P<0.05). Physical Functioning (t=5.817, P＜0.05), Role-Physical (t= 5.161, P<0.05), Bodily Pain (t= 3.430, P<0.05),General Health(t=4.685, P＜0.05), Social Functioning (t=5.250, P＜0.05), Role-Emotional(t=4.090, P＜0.05), Mental Health (t= 4.261, P＜0.05) difference between scores were statistically significant.Single-factor analysis of P=0.05 according to the standard filter out significant factors as independent variables, inclusion criteria for the 0.05 standard and exclusion criteria for the 0.10 standard method using stepwise multivariate linear regression. Multivariate analysis results were as follows:Based on standardized regression coefficients, the influencial factors of the improve rate in non-bone fracture dislocation cervical spinal cord injury were surgical treatment, formal rehabilitation.Based on standardized regression coefficients, the influencial factors of Physical Functioning were surgical treatment, formal rehabilitation.Based on standardized regression coefficients, the influencial factor of Role-Physical was surgical treatment.Based on standardized regression coefficients, the influencial factors of Bodily Pain were surgical treatment, formal rehabilitation.Based on standardized regression coefficients, the influencial factors of General Health were surgical treatment, formal rehabilitation.Based on standardized regression coefficients, the influencialfactors of Social Functioning was surgical treatment.Based on standardized regression coefficients, the influencial factors of Role-Emotional were formal rehabilitation, surgical treatment.Based on standardized regression coefficients the influencial factors of Mental Health were formal rehabilitation, surgical treatment.Conclusions:1.The different spinal cord functions of patients after being injured will have a influence to the estoration of future spinal cord function.2.The positive surgery treats is advantageous for patients to get a quicker and better recovery.3.The time from injury to surgery has a statistics significance in the improvement values of spinal cord function after treatment.4.Formal rehabilitation training can promote the recovery of spinal cord function in patients and give a higher survival quality.
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