Bertalanffy H, Eggert H R
Department of General Neurosurgery, University of Freiburg i. Br., Federal Republic of Germany.
Acta Neurochir (Wien). 1988;90(3-4):127-35. doi: 10.1007/BF01560567.
Between 1976 and 1983, 251 patients underwent surgery for the treatment of cervical degenerative disc disease. Anterior microsurgical discectomy at one or more cervical segments without interbody fusion was performed in each case. 109 patients with radiculopathy and 55 patients with myelopathy were followed up clinically 1 to 8 years postoperatively. A soft disc lesion was found in 72, a hard disc lesion in 92 patients. Of all radicular symptoms and signs, brachialgia and motor deficits of the upper extremities showed the highest improvement rates. The medullary complaints were improved in 80%, the progression of the disease was arrested in 93% of myelopathic cases. An excellent or good long-term result was achieved in 82% of patients with radiculopathy and 55% of those with myelopathy. The outcome was best in cases with soft disc lesions, with monosegmental disease, in individuals under 50 years of age, and in patients with a sudden onset and a short duration of symptoms. These results are comparable with those obtained by other surgical methods.
1976年至1983年间，251例患者接受了颈椎退行性椎间盘疾病的手术治疗。每例均在一个或多个颈椎节段进行了前路显微椎间盘切除术，未进行椎间融合。对109例神经根病患者和55例脊髓病患者进行了术后1至8年的临床随访。发现72例患者存在软性椎间盘病变，92例患者存在硬性椎间盘病变。在所有神经根症状和体征中，臂痛和上肢运动功能障碍的改善率最高。脊髓症状在80%的患者中得到改善，93%的脊髓病患者病情进展得到控制。神经根病患者82%、脊髓病患者55%获得了优良的长期效果。软性椎间盘病变、单节段疾病、50岁以下患者以及症状突发且病程短的患者预后最佳。这些结果与其他手术方法所获得的结果相当。
