[Surgical treatment and its related factors of cervical spondylotic myelopathy].
作者信息
Jia Lian-shun, Yuan Wen, Chen Xiong-sheng, Chen De-yu, Ye Xiao-jian, Ni Bin, Xiao Jian-ru
机构信息
Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
出版信息
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2005 Apr;27(2):165-9.
OBJECTIVE
To observe the results and its related factors of surgical treatment of cervical spondylotic myelopathy (CSM).
METHODS
Totally 365 CSM patients were reviewed. All patients were treated with anterior cervical decompression and fusion with autogenous iliac bone or titanium mesh cages with local bone graft. Anterior locking plates were used for fixation. Five patients received revision surgery 3 to 6 months after the initial operation.
RESULTS
Clinical function was excellent in 175 patients (47.94%), good in 129 patients (35.34%), fair in 44 patients (12.05%), and poor in 17 patients (4.66%).
CONCLUSION
Anterior cervical decompresion of CSM has good clinical efficacy. The timing of operation, disease severity, and surgical technique are the important factors affecting the outcome of treatment.
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