Zheng F R
China-Japan Friendship Hospital, Beijing.
Zhonghua Wai Ke Za Zhi. 1992 Mar;30(3):144-6, 188-9.
From Oct. 1986 to Dec. 1990, 74 patients with cervical spondylotic myelopathy were treated by anterior micro-decompression. According to the Guidetti's classification of spine cord dysfunction, minor paralysis was detected in 18 patients, moderate in 49, and severe in 7. Thirty-five patients with monointervertebral space compression were operated on at the involved space only, and 39 patients with poly-level masses, two or three intervertebral spaces were operated. The results of the patients after microsurgery were good in 55 patients (74.3%), improved in 16 (21.6%), unchanged in 3 (4.1%). None worsened after operation. The total effective rate was 95.9%. We emphasize that the bony compressive mass should be resolved completely and the same time spine cord involvement must be avoided.
1986年10月至1990年12月，对74例脊髓型颈椎病患者行前路显微减压术。根据Guidetti脊髓功能障碍分类，轻度瘫痪18例，中度49例，重度7例。35例单间隙受压患者仅在受累间隙手术，39例多节段病变、累及两个或三个间隙者行相应节段手术。显微手术后，55例（74.3%）效果良好，16例（21.6%）改善，3例（4.1%）无变化，无术后病情加重者，总有效率95.9%。强调应彻底解除骨性压迫肿块，同时避免脊髓损伤。
