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颈椎间盘移位的外科治疗

[Surgical treatment of cervical intervertebral disk displacement].

作者信息

Klages G

出版信息

Zentralbl Neurochir. 1985;46(3):218-28.

PMID:4090803
Abstract

Between 1977 and 1983, 51 patients underwent operative treatment of cervical disc herniation. The operation were made by ventral approach, with discectomy, resection of the posterior longitudinal ligament and of the bone osteophytes, as well as with spinal fusion with autologeous bone graft. In the group with radicular syndromes 82.6% had an excellent or good result, and 69.9% of these attained the working capacity. In cases with cervical myelopathy good results were stated in 34.6%, however by patients with intraoperative findings of sequester in spinal canal the results are better. 69.2% of the patients with cervical myelopathy obtained disablement pension. In all cases of cervical disc disease with radicular and/or medullary syndromes the callenge to early operative intervention are accentuated.

摘要

1977年至1983年间,51例患者接受了颈椎间盘突出症的手术治疗。手术采用前路入路,进行椎间盘切除术、后纵韧带和骨赘切除术,并采用自体骨移植进行脊柱融合术。在神经根综合征组中,82.6%的患者效果优异或良好,其中69.9%恢复了工作能力。在脊髓型颈椎病患者中,34.6%取得了良好效果,然而术中发现椎管内有游离体的患者效果更好。69.2%的脊髓型颈椎病患者获得了残疾抚恤金。在所有伴有神经根和/或脊髓综合征的颈椎间盘疾病病例中,早期手术干预的必要性更加突出。

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