Kato Yoshihiko, Imajo Yasuaki, Kanchiku Tsukasa, Kojima Takanori, Kataoka Hideo, Taguchi Toshihiko
Department of Orthopedic Surgery, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
J Neurosurg Spine. 2008 Aug;9(2):180-5. doi: 10.3171/SPI/2008/9/8/180.
Cervical flexion myelopathy is thought to arise following compression of the spinal cord by vertebrae or intervertebral discs and dura mater, or from overstretching of the spinal cord induced by cervical spinal flexion. However, the influence of spinal flexion on the spinal cord and the detailed origins of this disease are unknown. In this article the authors report a case of cervical flexion myelopathy in which dynamic electrophysiological examination was performed using an epidural electrode. This investigation showed the real-time influence of flexion of the cervical spine on spinal cord function. This technique was considered to be useful for diagnosis and in decision making for treatment. Anterior fusion was the optimal surgical method for treating this disease.
颈椎屈曲型脊髓病被认为是由于椎体、椎间盘和硬脊膜对脊髓的压迫，或颈椎屈曲引起的脊髓过度伸展所致。然而，脊柱屈曲对脊髓的影响以及该疾病的具体发病原因尚不清楚。在本文中，作者报告了一例颈椎屈曲型脊髓病的病例，该病例使用硬膜外电极进行了动态电生理检查。这项研究显示了颈椎屈曲对脊髓功能的实时影响。该技术被认为对诊断和治疗决策有用。前路融合术是治疗该疾病的最佳手术方法。
