Rasmussen G, Kruse A, Madsen F F, Rosenørn J
Ugeskr Laeger. 1989 Oct 16;151(42):2730-3.
The effect of operative treatment of spondylotic cervical myelopathy (SCM) was assessed by a follow up investigation of 33 patients submitted consecutively to operation. The patients were followed up on an average two years and two months after operation. As compared with the preoperative status, 39% of the patients had improved, 27% remained unchanged and 33% had a clinical status which was poorer than preoperatively. Age and sex were not found to be of significance for the prognosis. Patients with brief case histories had better effects of operation than patients with prolonged duration of the condition. The best results were found in patients in whom the duration of the condition was less than one year. Although 66% patients had obtained improved clinical condition or in whom progression of the condition has been arrested, 82% of the patients had been awarded social pensions at follow up examination as compared with 48% preoperatively. It is concluded that treatment of SCM should be instituted as early as possible in the course of the condition in the form of operative decompression of the cervical medulla.
通过对33例连续接受手术治疗的脊髓型颈椎病（SCM）患者进行随访调查，评估手术治疗效果。患者术后平均随访两年零两个月。与术前状态相比，39%的患者病情有所改善，27%的患者病情无变化，33%的患者临床状态比术前更差。年龄和性别对预后无显著影响。病史较短的患者手术效果优于病程较长的患者。病程小于一年的患者手术效果最佳。虽然66%的患者临床状况有所改善或病情进展得到控制，但随访检查时82%的患者获得了社会养老金，而术前这一比例为48%。结论是，在脊髓型颈椎病病程中应尽早进行手术减压治疗。
