Spinal fixation surgery for acute traumatic spinal cord injury
Editorial Group: Cochrane Injuries Group
Published Online: 23 JAN 2008
Assessed as up-to-date: 9 OCT 2007
Copyright © 2009 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
How to Cite
Bagnall AM, Jones L, Duffy S, Riemsma RP. Spinal fixation surgery for acute traumatic spinal cord injury. Cochrane Database of Systematic Reviews 2008, Issue 1. Art. No.: CD004725. DOI: 10.1002/14651858.CD004725.pub2.
- Publication Status: Edited (no change to conclusions)
- Published Online: 23 JAN 2008
If the spine is unstable following traumatic spinal cord injury (SCI), surgical fusion and bracing may be necessary to obtain vertical stability and prevent re-injury of the spinal cord from repeated movement of the unstable bony elements. It has been suggested that this spinal fixation surgery may promote early rehabilitation and mobilisation.
To answer the question: is there a difference in functional outcome and other commonly measured outcomes between people who have a spinal cord injury and have had spinal fixation surgery and those who have not?
The following databases were searched: AMED, CCTR, CINAHL, DARE, EMBASE, HEED, HMIC, MEDLINE, NRR, NHS EED. Searches were updated in May 2003 and MEDLINE was searched again in May 2007. The reference lists of retrieved articles were checked.
Randomised controlled trials and controlled trials that compared surgical spinal fixation, with or without decompression, to any other treatment, in patients with a traumatic SCI.
Data collection and analysis
Two reviewers independently selected studies. One reviewer assessed the quality of the studies and extracted data.
No randomised controlled trials or controlled trials were identified that compared surgical spinal fixation surgery to other treatments in patients with a traumatic SCI. All of the studies identified were retrospective observational studies and of poor quality.
The current evidence does not enable conclusions to be drawn about the benefits or harms of spinal fixation surgery in patients with traumatic SCI. Well-designed, prospective experimental studies with appropriately matched controls are needed.
Plain language summary
The benefits and harms of spinal fixation surgery for people with spinal cord injury due to trauma are not known at the moment
This review found no controlled trials of spinal fixation surgery for the patient group. The quality of the existing evidence is too poor to include in the review, as it is likely to be unreliable. Good quality controlled trials are needed to answer this question.
如果脊椎在脊髓損傷(spinal cord injury, SCI)之後是不穩定的，為了獲得垂直穩定及防止脊髓不穩定的骨成份因重複活動而再損傷，外科手術的熔合和固定可能是必要的。這種脊柱固定手術也許可以促進早期的復原及活動。
此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。