CERVICAL LAMINECTOMY AND FORAMINOTOMY AS SURGICAL-TREATMENT OF CERVICAL SPONDYLOSIS - A FOLLOW-UP-STUDY WITH ANALYSIS OF FAILURES

被引：28

作者：

SNOW, RB

WEINER, H

机构：

[1] Department of Neurosurgery, New York Hospital-Cornell University Medical Center, New York

来源：

JOURNAL OF SPINAL DISORDERS | 1993年 / 6卷 / 03期

关键词：

CERVICAL SPONDYLOSIS; CERVICAL LAMINECTOMY; MYELORADICULOPATHY;

D O I：

10.1097/00002517-199306030-00011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Ninety patients were followed after undergoing multilevel cervical laminectomy for cervical myeloradiculopathy secondary to cervical stenosis. Follow-up data was obtained by chart review and phone interview for all patients; 20% were examined at follow-up as well; 77% of patients were improved, 13% without change, and 10% worse at follow-up. No patients deteriorated in the immediate postoperative period. Greater than 50% of severely disabled patients had an excellent result, and 78% improved somewhat. It is concluded that cervical laminectomy is an effective procedure for treating patients with cervical spondylosis causing myeloradiculopathy. Reasons for failure of this procedure, although rarely identified on follow-up examination, are reviewed and briefly discussed.

引用

页码：245 / 251

页数：7

共 26 条

[1]

Al-Meftv O., Harlev L.H., Middleton T.H., Smith R.R., Fox J.L., Myelopathic cervical spondylotic lesions demonstrated by magnetic resonance imaging, J Neurosiirg, 68, pp. 217-222, (1988)

[2]

Batzdorf U., Batzdorf A., Analysis of cervical spine curvature in patients with cervical spondvlosis, Neurosurgery, 22, pp. 827-836, (1988)

[3]

Brain W.R., Northfield D.W., Wilkinson M., The neurological manifestations of cervical spondvlosis, Brain, 75, pp. 187-225, (1952)

[4]

Bradshaw P., Some aspects of cervical spondvlosis, Q J Med, 26, pp. 177-208, (1957)

[5]

Carol M.P., Ducker T.B., Cervical spondylitic myelopathies: Surgical treatment, J Spinal Disorders, 1, pp. 59-65, (1988)

[6]

Casotto A., Buoncristiani P., Posterior approach incervical spondviotic mveloradiculopathv, Acta Neurochirurgica, 57, pp. 275-285, (1981)

[7]

Crandall P.H., Batzdorf U., Cervical spondylotic myelopathy, J Neiirosurg, 25, pp. 57-66, (1966)

[8]

Crandall P.H., Gregorius F.K., Long-term follow-up of surgical treatment of cervical spondviotic mvelopathv, Spine, 2, pp. 139-146, (1977)

[9]

Epstein J.A., Arras R., Lavine L.S., Epstein B.S., The importance of removing osteophytes as part of the surgical treatment of mveloradiculopathy in cervical spondylosis, J Neurosurg, 30, pp. 219-226, (1969)

[10]

Epstein J.A., Janin Y., Carras R., Lavine L.S., A comparative study of the treatment of cervical spondylotic myeloradiculopathy, Acta Neurocliinirgica, 61, pp. 89-104, (1982)

← 1 2 3 →