Selladurai B M
Neurosurgical Unit, General Hospital, Colombo, Sri Lanka.
J Neurol Neurosurg Psychiatry. 1992 Jul;55(7):604-8. doi: 10.1136/jnnp.55.7.604.
A study was made of the clinical and radiological characteristics and the results of microsurgical discectomy without interbody fusion, of 26 young adults, who presented with cervical myelopathy due to nuclear herniations. Neck trauma was not a significant aetiological factor. The disease produced moderate to very severe functional disability in most patients (73%), in a relatively short period (mean symptom duration 6.3 months). Radiological assessment revealed the presence of canal stenosis, significant disc protrusions with paucity of spondylotic changes in most patients. At operation, soft disc lesions were found in 85% and sequestrated discs in 31%. Microsurgical discectomy without fusion produced gratifying recovery of functional disability without significant deleterious effects on the cervical spine.
对26例因髓核突出导致颈髓病的年轻成年人进行了一项研究，观察其临床和放射学特征以及未进行椎间融合的显微椎间盘切除术的结果。颈部创伤不是一个重要的病因因素。该疾病在大多数患者（73%）中在相对较短的时间内（平均症状持续时间6.3个月）产生了中度至非常严重的功能障碍。放射学评估显示大多数患者存在椎管狭窄、明显的椎间盘突出且脊柱关节病变化较少。手术中，85%发现有软性椎间盘病变，31%发现有游离椎间盘。未进行融合的显微椎间盘切除术使功能障碍得到了令人满意的恢复，且对颈椎没有明显的有害影响。
