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.
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.
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。
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