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颈椎脊髓病减压术

Decompression for cervical myelopathy.

作者信息

Jankowitz Brian T, Gerszten Peter C

机构信息

Department of Neurological Surgery, Presbyterian University Hospital, The University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.

出版信息

Spine J. 2006 Nov-Dec;6(6 Suppl):317S-322S. doi: 10.1016/j.spinee.2006.04.026.

DOI:10.1016/j.spinee.2006.04.026
PMID:17097552
Abstract

BACKGROUND CONTEXT

Cervical spondylotic myelopathy is a degenerative condition of the cervical spine. Surgical decompression is considered the gold standard of treatment, yet multiple published studies failed to yield consistent clinical results. Properly designed clinical outcomes studies using physiological, functional, and self-reported measures have the ability to define the best intervention for this disease entity. Many validated outcomes measures for cervical spondylotic myelopathy already exist, ranging from the disease-specific Nurick grading scale to the generalized Short Form 36-item (SF-36) questionnaire.

PURPOSE

To review the literature concerning outcome measurements for cervical spondylotic myelopathy.

CONCLUSION

Future research must consistently use a broad array of outcome assessments to elucidate the correct utilization of surgical decompression for this disease entity.

摘要

背景

脊髓型颈椎病是颈椎的一种退行性疾病。手术减压被认为是治疗的金标准,但多项已发表的研究未能得出一致的临床结果。使用生理、功能和自我报告测量方法进行合理设计的临床结局研究,有能力确定针对这种疾病实体的最佳干预措施。脊髓型颈椎病已经有许多经过验证的结局测量方法,从特定疾病的努里克分级量表到通用的36项简短健康调查问卷(SF-36)。

目的

回顾有关脊髓型颈椎病结局测量的文献。

结论

未来的研究必须始终如一地使用广泛的结局评估方法,以阐明手术减压对这种疾病实体的正确应用。

相似文献

1
Decompression for cervical myelopathy.颈椎脊髓病减压术
Spine J. 2006 Nov-Dec;6(6 Suppl):317S-322S. doi: 10.1016/j.spinee.2006.04.026.
2
Indications for circumferential surgery for cervical spondylotic myelopathy.脊髓型颈椎病的环形手术指征。
Spine J. 2006 Nov-Dec;6(6 Suppl):299S-307S. doi: 10.1016/j.spinee.2006.04.025.
3
Surgical management of cervical myelopathy: indications and techniques for surgical corpectomy.脊髓型颈椎病的外科治疗:椎体次全切除手术的适应证及技术
Spine J. 2006 Nov-Dec;6(6 Suppl):233S-241S. doi: 10.1016/j.spinee.2006.05.007.
4
Cervical myelopathy associated with degenerative spine disease and ossification of the posterior longitudinal ligament.与退行性脊柱疾病及后纵韧带骨化相关的脊髓型颈椎病
Semin Neurol. 2002 Jun;22(2):143-8. doi: 10.1055/s-2002-36537.
5
Does nonoperative management play a role in the treatment of cervical spondylotic myelopathy?非手术治疗在脊髓型颈椎病的治疗中起作用吗?
Spine J. 2006 Nov-Dec;6(6 Suppl):175S-181S. doi: 10.1016/j.spinee.2006.03.015.
6
Cervical spondylotic myelopathy. Approaches to surgical treatment.脊髓型颈椎病。手术治疗方法。
Clin Orthop Relat Res. 1999 Feb(359):58-66.
7
Measurement of outcome in patients with cervical spondylotic myelopathy treated surgically.手术治疗脊髓型颈椎病患者的疗效评估
Br J Neurosurg. 2002 Dec;16(6):545-9.
8
Prognostic value of somatosensory-evoked potentials in the surgical management of cervical spondylotic myelopathy.体感诱发电位在脊髓型颈椎病手术治疗中的预后价值
Spine (Phila Pa 1976). 2008 May 1;33(10):E305-10. doi: 10.1097/BRS.0b013e31816f6c8e.
9
Clinical and MRI predictors of outcome after surgical intervention for cervical spondylotic myelopathy.脊髓型颈椎病手术干预后预后的临床及磁共振成像预测因素
J Neuroimaging. 2007 Oct;17(4):315-22. doi: 10.1111/j.1552-6569.2007.00119.x.
10
Comparison of seven different scales used to quantify severity of cervical spondylotic myelopathy and post-operative improvement.用于量化脊髓型颈椎病严重程度及术后改善情况的七种不同量表的比较。
J Outcome Meas. 2001;5(1):798-818.

引用本文的文献

1
Comparative outcome analysis of lateral mass fixation and trans-facet fixation with posterior decompression in the management of cervical spondylotic myelopathy: An institutional experience.颈椎管狭窄症性脊髓病治疗中侧块固定与经关节突固定联合后路减压的比较性疗效分析:一项机构经验
J Craniovertebr Junction Spine. 2022 Jul-Sep;13(3):357-363. doi: 10.4103/jcvjs.jcvjs_51_22. Epub 2022 Sep 14.
2
Measurement of long-term outcome in patients with cervical spondylotic myelopathy treated surgically.手术治疗脊髓型颈椎病患者的长期预后评估
Eur Spine J. 2013 Nov;22(11):2552-7. doi: 10.1007/s00586-013-2965-4. Epub 2013 Aug 30.
3
Long-term follow-up results of the Cloward procedure for cervical spondylotic myelopathy.
颈椎脊髓病 Cloward 手术的长期随访结果。
Eur Spine J. 2013 Jan;22(1):128-34. doi: 10.1007/s00586-012-2457-y. Epub 2012 Aug 2.
4
Design of Lamifuse: a randomised, multi-centre controlled trial comparing laminectomy without or with dorsal fusion for cervical myeloradiculopathy.拉米弗斯(Lamifuse)的设计:一项随机、多中心对照试验,比较用于治疗颈脊髓神经根病的单纯椎板切除术与联合后路融合术。
BMC Musculoskelet Disord. 2007 Nov 9;8:111. doi: 10.1186/1471-2474-8-111.