Arnold H, Feldmann U, Missler U
Department of Neurosurgery, Medical University of Lübeck, Fed. Rep. of Germany.
Neurosurg Rev. 1993;16(2):105-9. doi: 10.1007/BF00258239.
In the past, chronic spondylogenic cervical myelopathy has been thought of being a disease often resistant to neurosurgical therapy. 56 out of 70 patient treated by laminectomy or different ventral fusion procedures improved immediately following operation. Only 36, however, continued to be improved at follow-up 5 to 8 years later, whereas additional 8 had worsened again, and another 5 mean-while had died due to myelopathy. Laminectomy turned out to be the least successful procedure of treatment. Nevertheless, early diagnosis, early operation, appropriate and individual surgical procedures, careful re-evaluation at follow-up, and -- if needed -- an early decision for a second-step operation can impressively improve the prognosis.
过去，慢性脊椎源性颈椎病一直被认为是一种常常对神经外科治疗有抵抗性的疾病。70例接受椎板切除术或不同前路融合手术治疗的患者中，56例术后立即得到改善。然而，只有36例在5至8年后的随访中持续改善，另有8例病情再次恶化，还有5例在此期间因脊髓病死亡。结果表明，椎板切除术是最不成功的治疗方法。尽管如此，早期诊断、早期手术、适当且个体化的手术方式、随访时仔细的重新评估，以及（如有需要）早期决定进行二期手术，都能显著改善预后。
