Petridis Athanasios K, Sechting Sabrina, Budde Michael, Doukas Alexandros, Maslehaty Homajoun, Mehdorn Hubertus Maximilian
Department of Neurosurgery, University Hospital Schleswig-Holstein, Kiel Campus, Germany.
Clin Pract. 2012 May 29;2(3):e60. doi: 10.4081/cp.2012.e60.
Intervertebral fusion through an anterior approach with polymethylacrylate is a well-established neurosurgical technique in the treatment of cervical spine degeneration. However, questions still remain concerning the post-surgical outcome. Factors influencing surgical outcome that could help to predict which patients need further post-surgical treatment and what to expect after surgery are the subject of numerous studies. In the present study, we retrospectively collected data from patients who had undergone intervertebral fusion and defined which pre-operative factors could influence the surgical outcome. Between 1993 and 1997, 379 patients were surgically treated with the ventral fusion technique in our hospital. In 2006, we sent a questionnaire to the patients and 164 responses were received. We identified pre-operative presence of severe pain, hypesthesia, palsy and gait disturbance as negative predictive factors, whereas age, body mass index, pre-operative physical strain and the cervical segment involved did not seem to influence prognosis. In conclusion, identifying pre-operative factors which influence prognosis after intervetebral fusion will help predict postoperative outcome.
经前路使用聚甲基丙烯酸甲酯进行椎间融合术是治疗颈椎退变的一种成熟的神经外科技术。然而，关于术后结果仍存在疑问。众多研究关注的主题是影响手术结果的因素，这些因素有助于预测哪些患者需要进一步的术后治疗以及术后预期情况。在本研究中，我们回顾性收集了接受椎间融合术患者的数据，并确定了哪些术前因素会影响手术结果。1993年至1997年间，我院379例患者接受了前路融合技术手术治疗。2006年，我们向患者发送了问卷，收到164份回复。我们确定术前存在严重疼痛、感觉减退、麻痹和步态障碍为负面预测因素，而年龄、体重指数、术前身体劳损和受累颈椎节段似乎不影响预后。总之，识别影响椎间融合术后预后的术前因素将有助于预测术后结果。
