Yonenobu K, Okada K, Fuji T, Fujiwara K, Yamashita K, Ono K
Spine (Phila Pa 1976). 1986 Oct;11(8):818-23. doi: 10.1097/00007632-198610000-00016.
Neurologic deterioration was analyzed in 110 patients with surgically treated cervical myelopathy secondary to soft disc hernia or spondylosis. Follow-up periods ranged from 2 to 14 years, with an average of 6 years. Of 110 patients, 29 suffered neurologic deterioration. In most of the patients, deterioration occurred within the first year after surgery. Causes of deterioration were divided into three categories: direct trauma to neural tissue during surgery (a preventable complication); instability of the spine, progression of spondylotic changes above or below the level of fusion, and non-union (apparently unpreventable but treatable); and nonsurgery-related accidental trauma (unavoidable and often irreversible). Countermeasures for the deterioration are discussed.
对110例因软性椎间盘突出或脊柱关节病接受手术治疗的颈椎脊髓病患者的神经功能恶化情况进行了分析。随访时间为2至14年，平均6年。110例患者中，29例出现神经功能恶化。在大多数患者中，恶化发生在术后第一年。恶化原因分为三类：手术期间神经组织的直接创伤（一种可预防的并发症）；脊柱不稳定、融合水平上方或下方脊柱关节病变化的进展以及骨不连（显然不可预防但可治疗）；以及与手术无关的意外创伤（不可避免且往往不可逆）。讨论了针对恶化情况的应对措施。
