Multivariate Analysis Of The Effect Of Operation On Cervical Spinal Cord Injury Without Fracture And Dislocation

Objective: To research the influencing factors of the operative effect on cervical spinal cord injury without fracture or dislocation.Methods: The clinical data of 135 patients with cervical spinal cord injury without fracture or dislocation from November 2007 to November 2016 who received operation were collected.The clinical data which may have an impact on the operative effect include age,gender,ASIA grade of spine cord injury,the length of spine cord injury in MRI,ratio of Pavlov,ossification of the posterior longitudinal ligament(OPLL),intervertebral disc herniation,the type of spine cord injury in MRI,time from injury to operation,treatment of high-dose methylprednidlone,time of operation,bleeding volume during operation.In order to screen the main influencing factors of above items to prognosis,the Single factor and multiple factor Logistic regression analysis were used in the clinical data by SPSS20.0 statistical software.Results: univariate analysis results showed that the factors including ASIA grade of spine cord injury,the length of spine cord injury in MRI,ratio of Pavlov,ossification of longtitudinal ligament(OPLL),intervertebral disc of herniation,the type of spine cord injury in MRI were associated with prognosis(P<0.05).Munivariate analysis results indicated that the type of spine cord injury in MRI,the length of spine cord injury in MRI,ratio of Pavlov,ASIA grade of spine cord injury were the main prognostic factors according to the influence intensity(P <0.05).Conclusion: The influencing factors of the operative effect on cervical spinal cord injury without fracture or dislocation were the type of spine cord injury in MRI,the length of spine cord injury in MRI,ratio of Pavlov,ASIA grade of spine cord injury,and the foremost of them were the type and length of spine cord injury in MRI.