Boogaarts Hieronymus D, Bartels Ronald H M A
Department of Neurosurgery, Radboud University Medical Centre, Geert Grooteplein-Zuid 10, 6525 GA, Nijmegen, The Netherlands.
Eur Spine J. 2015 Apr;24 Suppl 2:139-41. doi: 10.1007/s00586-013-2781-x. Epub 2013 Apr 25.
Patients with signs and/or symptoms of cervical spondylotic myelopathy are frequently encountered in spinal practice. Exact numbers of prevalence or incidence are not known.
A literature search was performed by an experienced librarian in Pubmed, Embase, and Scopus. After selection of articles based on titles and abstracts, a full text review was performed. The prevalence of people needing surgical treatment was also estimated in a neurosurgical practice with a population adherence of 1.7 million people and a known referral pattern of the neurologists; all patients operated upon because of cervical spondylotic myelopathy between July 2009 and July 2012 were collected and prevalence calculated.
The search of the literature did not reveal any article reporting an incidence or prevalence of cervical spondylotic myelopathy. Eighty of 5,992 patients were operated upon because of a cervical spondylotic myelopathy: 1.6 per 100,000 inhabitants.
Surprisingly, an extensive search of the literature did not reveal exact data about the incidence or prevalence of cervical spondylotic myelopathy. The prevalence of surgically treated cervical spondylotic myelopathy was estimated as 1.6 per 100,000 inhabitants. Although the population adherence to the surgical practice is reasonably fixed and referral patterns are known, this estimate will still be too low for various reasons. At best, this estimate is the minimal prevalence of cervical spondylotic myelopathy that has been operated upon. To address the exact incidence or prevalence of cervical spondylotic myelopathy in general or needing surgical treatment, other investigations are warranted.
颈椎病性脊髓病有体征和/或症状的患者在脊柱科临床中很常见。确切的患病率或发病率尚不清楚。
一位经验丰富的图书馆员在PubMed、Embase和Scopus数据库中进行文献检索。在根据标题和摘要筛选文章后，进行全文综述。在一个拥有170万人口且已知神经科医生转诊模式的神经外科诊所中，还估计了需要手术治疗的人群患病率；收集了2009年7月至2012年7月期间因颈椎病性脊髓病接受手术的所有患者，并计算患病率。
文献检索未发现任何报告颈椎病性脊髓病发病率或患病率的文章。5992例患者中有80例因颈椎病性脊髓病接受手术：每10万居民中有1.6例。
令人惊讶的是，广泛的文献检索未发现关于颈椎病性脊髓病发病率或患病率的确切数据。经手术治疗的颈椎病性脊髓病的患病率估计为每10万居民中有1.6例。尽管该外科诊所的人口基数相对固定且转诊模式已知，但由于各种原因，这一估计值仍会偏低。充其量，这一估计是已接受手术治疗的颈椎病性脊髓病的最低患病率。要确定颈椎病性脊髓病总体或需要手术治疗的确切发病率或患病率，还需要进行其他调查。
