Dubuisson A, Lenelle J, Stevenaert A
Department of Neurosurgery, University Hospital of Liège, Belgium.
Acta Neurochir (Wien). 1993;125(1-4):115-9. doi: 10.1007/BF01401837.
During the period from January 1975 to January 1991, 100 patients with soft cervical disc herniation were operated on by either the anterior (84 patients) or posterior (16 patients) approach. There were 33 women and 67 men, aged from 25 to 67 years (average: 41.5%); 97% presented with radicular symptoms and/or signs while 15% presented with long tract symptoms and/or signs. The patients were evaluated by computed tomography and/or myelography. Thirty-six of the lesions occurred at the C 5/6 level and 54% at the C 6/7 level. Seventy-seven % reported total or partial relief of preoperative symptoms and signs postoperatively. Patients presenting with radiculopathy had better outcome than those presenting with combined radicular and spinal cord involvement.
在1975年1月至1991年1月期间,100例软性颈椎间盘突出症患者接受了前路(84例)或后路(16例)手术。其中女性33例,男性67例,年龄在25至67岁之间(平均41.5岁);97%的患者出现神经根症状和/或体征,15%的患者出现长束症状和/或体征。通过计算机断层扫描和/或脊髓造影对患者进行评估。36处病变发生在C5/6水平,54%发生在C6/7水平。77%的患者术后报告术前症状和体征完全或部分缓解。出现神经根病的患者比同时出现神经根和脊髓受累的患者预后更好。