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
收藏
页码:245 / 251
页数:7
相关论文
共 26 条
[21]  
Roberts A.H., Myelopathy due to cervical spondylosis treated by collar immobilization, Neurology, 16, pp. 951-954, (1966)
[22]  
Saunders R.L., Problems and results of strut graft stabilization of the cervical spine, Presented at the Joint Section on Disorders of the Spine and Peripheral Nerves, pp. 16-20, (1988)
[23]  
Scoville W.B., Cervical spondylosis treated by bilateral facetectomy and laminectomy, J Neurosurg, 18, pp. 423-428, (1961)
[24]  
Stoops W., King R., Chronic myelopathy associated with cervical spondylosis. Its response to laminectomv and foraminotomy, JAMA, 192, pp. 281-284, (1965)
[25]  
Vaquero J., Cabezudo J.M., Leunda G., Bravo G., Subjective post-operative results in cervical spondviotic myelopathy, Acta Neurochirurgica, 62, pp. 95-100, (1982)
[26]  
Yonenobu K., Fiji T., Ono K., Okada K., Yarmamoto T., Harada N., Choice of surgical treatment for multi-segmental cervical spondviotic myelopathy, Spine, 10, pp. 710-716, (1985)