Hukuda S, Mochizuki T, Ogata M, Shichikawa K, Shimomura Y
J Bone Joint Surg Br. 1985 Aug;67(4):609-15. doi: 10.1302/0301-620X.67B4.4030860.
Over the past 19 years we have operated on 269 patients with myelopathy associated with cervical spondylosis. We report our results in 191 cases which we have followed up for 1 to 12 years (average 31 months). The clinical state before and after operation was recorded using the criteria of the Japanese Orthopaedic Association. Posterior operations gave better results than anterior for the more advanced myelopathies such as transverse lesions, the Brown-Séquard syndrome and the motor syndromes, but the brachialgia and cord syndrome and the central cord syndrome were satisfactorily treated by anterior operations. Of the three anterior and three posterior techniques used, no single one showed an overall superiority. A short duration of symptoms before operation was associated with better results, but these were not influenced by the age of the patients.
在过去19年里，我们为269例患有颈椎病相关脊髓病的患者实施了手术。我们报告了191例患者的结果，这些患者的随访时间为1至12年（平均31个月）。采用日本骨科协会的标准记录手术前后的临床状况。对于较为严重的脊髓病，如横贯性损伤、布朗 - 色夸综合征和运动综合征，后路手术的效果优于前路手术，但臂丛神经痛、脊髓综合征和中央脊髓综合征通过前路手术得到了令人满意的治疗。在所采用的三种前路手术和三种后路手术技术中，没有一种显示出总体优势。术前症状持续时间短与更好的结果相关，但这些结果不受患者年龄的影响。
