Kurbanov N M, Protsenko A I, Khudaĭberdiev K T
Ortop Travmatol Protez. 1989 Jul(7):21-4.
The clinical material presented by the authors includes 24 observations of patients with ossification of the posterior longitudinal ligament. In all cases there was a cervical spine injury in the patients', past history. The diagnosis was confirmed roentgenologically and by the method of computer tomography. The treatment is surgical and consists in anterior decompression of the spinal cord. Recovery was observed in 10 patients (42 +/- 10%), partial regress of myelopathy in 9 patients (29 +/- 10%) and discontinuation (12 +/- 6%); there was no effect in 2 patients of progress of the disease in 3 patients (8 +/- 6%) patients. The authors consider it is necessary to make a careful examination of the patients with myelopathy having a cervical spine injury in their past history in order to reveal ossification of the posterior longitudinal ligament and carry on timely surgical treatment.
作者提供的临床资料包括24例后纵韧带骨化患者的观察结果。所有病例患者既往均有颈椎损伤史。诊断通过X线检查和计算机断层扫描方法得以证实。治疗方法为手术,即脊髓前路减压。10例患者(42±10%)症状好转,9例患者(29±10%)脊髓病部分改善,12例患者(12±6%)病情稳定;2例患者无效,3例患者(8±6%)病情进展。作者认为,对于既往有颈椎损伤史的脊髓病患者,有必要进行仔细检查,以发现后纵韧带骨化并及时进行手术治疗。