Sadasivan K K, Reddy R P, Albright J A
Department of Orthopaedic Surgery, Louisiana State University Medical Center, Shreveport 71130-3932.
Yale J Biol Med. 1993 May-Jun;66(3):235-42.
This is a retrospective study of twenty-two patients with cervical spondylotic myelopathy who were admitted to the hospital for surgical treatment of their neurological condition. The purpose of the study was to evaluate the presenting symptoms, factors affecting the diagnosis and the course of the disease prior to surgical intervention. The earliest consistent symptom in all of our patients was a gait abnormality. The course of the disease was one of progressive deterioration. Spontaneous regression did not occur in any of the cases. The vagueness of the initial complaints led to considerable delay in the diagnosis (average of 6.3 years). Magnetic Resonance Imaging (MRI) was the most useful test in confirming the diagnosis.
这是一项对22例脊髓型颈椎病患者的回顾性研究，这些患者因神经系统疾病入院接受手术治疗。本研究的目的是评估手术干预前的症状表现、影响诊断的因素以及疾病进程。我们所有患者最早出现且持续存在的症状是步态异常。疾病进程呈进行性恶化，所有病例均未出现自发缓解。最初症状的模糊性导致诊断出现相当大的延迟（平均6.3年）。磁共振成像（MRI）是确诊最有用的检查。
