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脊髓型颈椎病局部前路减压融合术的长期疗效

The long-term results of localised anterior cervical decompression and fusion in spondylotic myelopathy.

作者信息

Irvine G B, Strachan W E

出版信息

Paraplegia. 1987 Feb;25(1):18-22. doi: 10.1038/sc.1987.7.

DOI:10.1038/sc.1987.7
PMID:3562052
Abstract

A retrospective analysis is presented of 46 patients with cervical spondylotic myelopathy treated by anterior cervical decompression and fusion. In each case the spondylosis was localised and a maximum of two intervertebral levels was fused. Operation had been carried out 7.0 to 14.4 years (mean 10.0 years) previously and the mean age at surgery was 60 years. Disability was such that no patient was able to work prior to operation and only 10 patients (22%) could walk unaided. The functional results, in terms of walking ability, show that 36 patients (78%) have been improved, six (13%) remain unchanged and in 4 patients (9%) the disease has progressed. Twenty nine patients (63%) were able to walk without aid at the time of review. On a subjective basis 30 patients (65%) felt that they had benefitted from surgery.

摘要

对46例接受颈椎前路减压融合术治疗的脊髓型颈椎病患者进行了回顾性分析。每例患者的颈椎病均为局限性,最多融合两个椎间节段。手术于7.0至14.4年(平均10.0年)前进行,手术时的平均年龄为60岁。患者的残疾状况严重,术前无一例患者能够工作,只有10例患者(22%)能够独立行走。就行走能力而言,功能结果显示,36例患者(78%)有所改善,6例(13%)无变化,4例患者(9%)病情进展。在复查时,29例患者(63%)能够独立行走。主观上,30例患者(65%)认为手术使他们受益。

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引用本文的文献

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Laminoplasty following anterior cervical fusion for spondylotic myeloradiculopathy.前路颈椎融合术后行椎板成形术治疗脊髓型颈椎病伴神经根病。
Int Orthop. 1994 Feb;18(1):1-5. doi: 10.1007/BF00180168.
2
Iliac crest versus artificial bone grafts in 250 cervical fusions.250例颈椎融合术中髂嵴骨移植与人工骨移植的对比
Acta Neurochir (Wien). 1994;129(1-2):54-7. doi: 10.1007/BF01400873.
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The treatment of spondylotic cervical myelopathy by ventral discectomy. Long term results on 121 patients.
Neurosurg Rev. 1994;17(4):247-52. doi: 10.1007/BF00306811.
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Treatment of cervical canal stenosis by decompression and anterior fusion.通过减压和前路融合术治疗宫颈管狭窄。
Arch Orthop Trauma Surg (1978). 1988;107(6):354-6. doi: 10.1007/BF00381061.