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前路融合术后颈椎假关节形成。采用后路神经根减压、稳定及融合术治疗。

Pseudarthrosis of the cervical spine after anterior arthrodesis. Treatment by posterior nerve-root decompression, stabilization, and arthrodesis.

作者信息

Farey I D, McAfee P C, Davis R F, Long D M

机构信息

Department of Orthopedic Surgery, Johns Hopkins Hospital University School of Medicine, Baltimore, Maryland 21205.

出版信息

J Bone Joint Surg Am. 1990 Sep;72(8):1171-7.

PMID:2398087
Abstract

Nineteen consecutive patients who had a symptomatic pseudarthrosis after a failed anterior cervical arthrodesis were treated by a posterior nerve-root decompression and arthrodesis. The indications for the operation were radiculopathy in the absence of myelopathy and evidence of a pseudarthrosis on lateral flexion and extension radiographs. The average duration of follow-up was forty-four months (range, twenty-four to fifty-four months). A solid fusion was achieved in all patients, and the radiculopathy was relieved in all but one. The motor weakness that had been present in four patients preoperatively resolved completely.

摘要

19例连续的患者,在颈椎前路融合术失败后出现有症状的假关节,接受了后路神经根减压及融合术治疗。手术指征为无脊髓病的神经根病以及侧屈和伸展位X线片上有假关节的证据。平均随访时间为44个月(范围24至54个月)。所有患者均实现了牢固融合,除1例患者外,其余患者的神经根病均得到缓解。术前4例患者存在的运动无力完全消失。

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