Author(s)

Wang Yichun, Jiao genlong, He Qiaoling^*

Affiliation(s)

The Second Area of Spinal Trauma, First Affiliated Hospital of Jinan University, Guangzhou 510632, Guangdong Province

Corresponding Author

He Qiaoling

ABSTRACT

Objective: To explore the treatment and nursing strategy of cerebrospinal fluid leakage in the elderly patients with cervical spinal cord injury after spinal dural incision decompression. Methods: a retrospective analysis of 34 elderly (≥ 60 years old) patients with cervical spinal cord injury who received posterior cervical surgery in our department from September 2009 to September 2018. 16 patients in the experimental group received conventional posterior decompression and fixation and spinal dural incision decompression (preoperative prediction of postoperative Cerebrospinal fluid leakage); 18 patients in the control group received only posterior cervical decompression and fixation; the patients in both groups were given preoperative education, close observation after operation, timely adjustment of body position, timely medical care and communication between doctors and patients, wound cleaning, anti-infection and other nursing measures. Through observation and comparison, the patients in the two groups had cerebrospinal fluid leakage combined with infection, reoperation rate, wound healing time, postoperative hospital stay, etc. Results: among the patients in the test group, there was 1 case with CSF leakage and infection, which needed reoperation, and other patients' incision healed at the same time; in the control group, the incision healed at the same time, without infection and reoperation; compared with the two groups, the time of incision healing and postoperative hospitalization did not increase because of CSF leakage; Conclusion: Through proper treatment and nursing, there was no difference in preoperative predictability of p ostoperative cerebrospinal fluid leakage between the incision healing and the routine operation. The risk of postoperative infection, reoperation and postoperative hospital stay did not increase

KEYWORDS

the elderly, spinal cord injury, preoperative predictability, cerebrospinal fluid leakage

CITE THIS PAPER

Wang Yichun, Jiao genlong, He Qiaoling. Treatment and nursing strategy of preoperative predictability of postoperative cerebrospinal fluid leakage of in elderly patients with cervical spinal cord injury. Acta Translational Medicine. 2020, 3(1): 34-40.

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