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颈椎病性脊髓病。病例报告。

Cervical myelopathy due to spondylosis. Case report.

作者信息

Hawkins J C, Yaghmai F, Gindin R A

出版信息

J Neurosurg. 1978 Feb;48(2):297-301. doi: 10.3171/jns.1978.48.2.0297.

DOI:10.3171/jns.1978.48.2.0297
PMID:624979
Abstract

The authors report the case of a patient with cervical myelopathy who was examined at autopsy 2 years after a second anterior cervical fusion by Cloward's technique. The clinical course and pre- and postoperative myelograms are presented. Theories as to the etiology of myelopathy are discussed. This case demonstrates chronic changes that seem to implicate a vascular theory but not the specific vessel or vessels. The mechanism of improvement following the Cloward procedure is not explained by the pathological slides.

摘要

作者报告了一例颈椎脊髓病患者的病例,该患者在采用克劳德技术进行第二次颈椎前路融合术后2年接受了尸检。文中呈现了其临床病程以及术前和术后的脊髓造影图像。讨论了脊髓病病因的相关理论。该病例显示出一些慢性变化,这些变化似乎支持血管理论,但未明确具体涉及的血管。病理切片无法解释克劳德手术后病情改善的机制。

相似文献

1
Cervical myelopathy due to spondylosis. Case report.颈椎病性脊髓病。病例报告。
J Neurosurg. 1978 Feb;48(2):297-301. doi: 10.3171/jns.1978.48.2.0297.
2
Arterial supply of the cervical spinal cord and its relation to the cervical myelopathy in spondylosis.颈脊髓的动脉供应及其与颈椎病性脊髓病的关系。
Ann R Coll Surg Engl. 1969 Oct;45(4):232-51.
3
Cervical myelopathy caused by developmental stenosis of the spinal canal.发育性椎管狭窄所致的脊髓型颈椎病
J Neurosurg. 1979 Sep;51(3):362-7. doi: 10.3171/jns.1979.51.3.0362.
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Pathophysiology of cervical myelopathy.脊髓型颈椎病的病理生理学
Spine J. 2006 Nov-Dec;6(6 Suppl):190S-197S. doi: 10.1016/j.spinee.2006.04.024.
5
[Cervical myelopathy of spinal origin].[脊髓源性颈椎病]
J Belge Rhumatol Med Phys. 1971 May-Jun;26(3):93-9.
6
Cervical spondylosis with accompanying myelopathy: its alleviation by removal of the bony spur.伴有脊髓病的颈椎病:通过去除骨赘实现病情缓解。
S Afr J Surg. 1968 Jan-Mar;6(1):5-26.
7
[Two cases of cervical disc disease with intramedullary pathological changes, which are responsible for their neurological syndromes, on delayed CT myelography].
No Shinkei Geka. 1987 Aug;15(8):837-41.
8
Autopsy verifies demyelination and lack of vascular damage in partially reversible radiation myelopathy.尸检证实部分可逆性放射性脊髓病存在脱髓鞘且无血管损伤。
Spinal Cord. 2003 Oct;41(10):577-85. doi: 10.1038/sj.sc.3101480.
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The importance of the sagittal diameters of the cervical spinal canal in relation to spondylosis and myelopathy.颈椎管矢状径与颈椎病及脊髓病的关系
J Bone Joint Surg Br. 1974 Feb;56(1):30-6.
10
Complications and limitations of anterior decompression and fusion of the cervical spine (Cloward's technique).颈椎前路减压融合术(克劳德技术)的并发症及局限性
Med J Aust. 1971 Dec 11;2(24):1235-7.

引用本文的文献

1
Human spinal cord tissue is an underutilised resource in degenerative cervical myelopathy: findings from a systematic review of human autopsies.人类脊髓组织在退行性颈椎病中未得到充分利用:来自人类尸检系统评价的研究结果。
Acta Neurochir (Wien). 2023 May;165(5):1121-1131. doi: 10.1007/s00701-023-05526-5. Epub 2023 Feb 23.
2
Postmortem findings in a woman with history of laminoplasty for severe cervical spondylotic myelopathy.一名因严重脊髓型颈椎病行椎板成形术的女性患者的尸检结果。
J Spinal Cord Med. 2011;34(5):523-6. doi: 10.1179/107902611X13069205199503.