颈椎病和椎间盘退变所致脊髓型颈椎病的外科治疗
The surgical treatment of cervical myelopathy due to spondylosis and disc degeneration.
作者信息
Jeffreys R V
出版信息
J Neurol Neurosurg Psychiatry. 1986 Apr;49(4):353-61. doi: 10.1136/jnnp.49.4.353.
Abstract
A personal prospective study of the surgical treatment of cervical myelopathy due to spondylosis and disc protrusion is presented. One hundred and thirty-seven patients with severe disability have undergone surgery according to a protocol involving both the anterior approach of Cloward and decompressive laminectomy. Fifty-two percent of patients have returned to full employment, 39% to light employment and 9% remained disabled though improved from their pre-operative status. The pathenogenesis, natural history and treatment are discussed and reasons advanced to suggest that the disability resulting from severe forms of the condition may be alleviated in the majority of cases.
摘要
本文介绍了一项关于颈椎病和椎间盘突出所致脊髓型颈椎病手术治疗的个人前瞻性研究。137例严重残疾患者按照包括Cloward前路手术和减压椎板切除术的方案接受了手术。52%的患者已恢复全职工作，39%恢复了轻体力工作，9%虽然比术前状况有所改善但仍有残疾。文中讨论了发病机制、自然史和治疗方法，并提出理由表明，在大多数情况下，这种严重形式疾病导致的残疾可能会得到缓解。
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本文引用的文献
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Cervical disk lesions with neurological disorder. Differential diagnosis, treatment, and prognosis.伴有神经功能障碍的颈椎间盘病变。鉴别诊断、治疗及预后
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6
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J Bone Joint Surg Am. 1958 Jun;40-A(3):607-24.
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Some aspects of cervical spondylosis.颈椎病的某些方面。
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