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脊髓型颈椎病中胸腰椎压缩性病变的患病率及分布情况

Prevalence and distribution of thoracic and lumbar compressive lesions in cervical spondylotic myelopathy.

作者信息

Miyazaki Masashi, Kodera Ryuzo, Yoshiiwa Toyomi, Kawano Masanori, Kaku Nobuhiro, Tsumura Hiroshi

机构信息

Department of Orthopaedic Surgery, Faculty of Medicine, Oita University, Oita, Japan.

出版信息

Asian Spine J. 2015 Apr;9(2):218-24. doi: 10.4184/asj.2015.9.2.218. Epub 2015 Apr 15.

DOI:10.4184/asj.2015.9.2.218
PMID:25901233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4404536/
Abstract

STUDY DESIGN

Retrospective cross-sectional study.

PURPOSE

This study analyzed the prevalence and distribution of horacic and lumbar compressive lesions in cervical spondylotic myelopathy as well as their relationships with cervical developmental spinal canal stenosis (DCS) by using whole-spine postmyelographic computed tomography.

OVERVIEW OF LITERATURE

There are few studies on missed compressive lesions of the spinal cord or cauda equina at the thoracolumbar level in cervical spondylotic myelopathy. Furthermore, the relationships between DCS, and the prevalence and distribution of thoracic and lumbar compressive lesions are unknown.

METHODS

Eighty patients with symptomatic cervical spondylotic myelopathy were evaluated. Preoperative image data were obtained. Patients were classified as DCS or non-DCS (n=40 each) if their spinal canal longitudinal diameter was <12 mm at any level or ≥12 mm at all levels, respectively. Compressive lesions in the anterior and anteroposterior parts, ligamentum flavum ossification, posterior longitudinal ligament ossification, and spinal cord tumors at the thoracolumbar levels were analyzed.

RESULTS

Compressive lesions in the anterior and anteroposterior parts were observed in 13 (16.3%) and 45 (56.3%) patients, respectively. Ligamentum flavum and posterior longitudinal ligament ossification were observed in 19 (23.8%) and 3 (3.8%) patients, respectively. No spinal cord tumors were observed. Thoracic and lumbar compressive lesions of various causes tended to be more common in DCS patients than non-DCS patients, although the difference was statistically insignificant.

CONCLUSIONS

Surveying compressive lesions and considering the thoracic and lumbar level in cervical spondylotic myelopathy in DCS patients are important for preventing unexpected neurological deterioration and predicting accurate neurological condition after cervical surgery.

摘要

研究设计

回顾性横断面研究。

目的

本研究通过全脊柱脊髓造影后计算机断层扫描分析脊髓型颈椎病中胸腰椎受压病变的患病率和分布情况，以及它们与颈椎发育性椎管狭窄（DCS）的关系。

文献综述

关于脊髓型颈椎病中胸腰段脊髓或马尾神经漏诊受压病变的研究较少。此外，DCS与胸腰椎受压病变的患病率和分布之间的关系尚不清楚。

方法

对80例有症状的脊髓型颈椎病患者进行评估。获取术前影像数据。如果患者椎管纵径在任何水平<12 mm或所有水平≥12 mm，则分别分为DCS组或非DCS组（每组n = 40）。分析胸腰段的前部和前后部受压病变、黄韧带骨化、后纵韧带骨化和脊髓肿瘤。

结果

分别在13例（16.3%）和45例（56.3%）患者中观察到前部和前后部受压病变。分别在19例（23.8%）和3例（3.8%）患者中观察到黄韧带和后纵韧带骨化。未观察到脊髓肿瘤。尽管差异无统计学意义，但各种原因导致的胸腰椎受压病变在DCS患者中往往比非DCS患者更常见。

结论

在DCS患者的脊髓型颈椎病中，检查受压病变并考虑胸腰段水平对于预防意外的神经功能恶化和预测颈椎手术后准确的神经状况很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/c8e177a5c008/asj-9-218-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/74b66e3ba169/asj-9-218-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/ed1e09f48557/asj-9-218-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/facdb00e192a/asj-9-218-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/d303f6c569fe/asj-9-218-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/71347f1134c1/asj-9-218-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/c8e177a5c008/asj-9-218-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/74b66e3ba169/asj-9-218-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/ed1e09f48557/asj-9-218-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/facdb00e192a/asj-9-218-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/d303f6c569fe/asj-9-218-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/71347f1134c1/asj-9-218-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a20b/4404536/c8e177a5c008/asj-9-218-g006.jpg

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2
Tandem age-related lumbar and cervical intervertebral disc changes in asymptomatic subjects.无症状人群中与年龄相关的腰椎和颈椎椎间盘的串联变化。
Eur Spine J. 2013 Apr;22(4):708-13. doi: 10.1007/s00586-012-2500-z. Epub 2012 Sep 19.
3
The natural history of asymptomatic lumbar canal stenosis in patients undergoing surgery for cervical myelopathy.
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Sci Rep. 2021 Sep 16;11(1):18471. doi: 10.1038/s41598-021-98038-0.
4
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BMC Musculoskelet Disord. 2021 Jan 4;22(1):7. doi: 10.1186/s12891-020-03905-y.
5
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6
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7
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8
Risk factors for spinal epidural hematoma after spinal surgery.脊柱手术后发生脊柱硬膜外血肿的危险因素。
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10
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