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关于多节段椎体次全切除术后并发神经根病的发病机制

On the pathogenesis of the radiculopathy complicating multilevel corpectomy.

作者信息

Saunders R L

机构信息

Dartmouth-Hitchcock Medical Center, Section of Neurosurgery, Lebanon, New Hampshire, USA.

出版信息

Neurosurgery. 1995 Sep;37(3):408-12; discussion 412-3. doi: 10.1227/00006123-199509000-00006.

DOI:10.1227/00006123-199509000-00006
PMID:7501103
Abstract

Postoperative fifth cervical radiculopathy has been described after cervical corpectomy. One explanation for this complication is thought to be the factor of traction on cervical roots caused by a shifting of the spinal cord consequent to decompression. This theory is supported by our experience with 176 patients undergoing corpectomies for whom a lesser width of decompression all but eliminated the complication.

摘要

颈椎椎体次全切除术后曾有第五颈神经根病的报道。对于这一并发症的一种解释被认为是减压后脊髓移位导致颈神经根受牵拉的因素。我们对176例行椎体次全切除术的患者的经验支持了这一理论，在这些患者中，较小的减压宽度几乎消除了该并发症。

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