Vignon G, Colcombet P, Bochu M, Masset J C, Calvel V, Meunier P
Rev Rhum Mal Osteoartic. 1977 Apr;44(4):239-48.
Reviewing fourteen cases, the authors show that cervical myelopathies present by spastic quadriplegia associated in half of the cases with sensory impairment and in a third of cases with radicular signs in the upper limbs. Tomography always shows posterior discal osteophytosis, sometimes gross, which reduces the lumen of the canal more particularly since it is associated (eleven times out of fourteen) with constitutional stenosis, of variable severity. Opaque or gaseous myelography makes it possible to exclude malformation or new formation and will demonstrate cord constriction within the canal. Surgical treatment (eleven laminectomies, 1 discectomy-artrodesis) resulted in 7 improvements, no change in 3 cases and 2 exacerbations. The myelopathies appeared to be due to repeated contusions of the cord and its arteries against the wall of the canal, caused by neck movements.
通过对14例病例的回顾，作者表明，颈椎脊髓病表现为痉挛性四肢瘫，半数病例伴有感觉障碍，三分之一病例伴有上肢神经根症状。断层扫描总是显示椎间盘后骨赘形成，有时很明显，这尤其会使椎管腔变窄，因为它（14例中有11例）与不同严重程度的先天性狭窄有关。不透光或气体脊髓造影可以排除畸形或新生物，并能显示椎管内的脊髓受压。手术治疗（11例椎板切除术，1例椎间盘切除术-关节固定术）导致7例病情改善，3例无变化，2例病情加重。这些脊髓病似乎是由于颈部运动导致脊髓及其动脉反复撞击椎管壁而引起的。
