CHRONIC SPONDYLOGENIC CERVICAL MYELOPATHY - A CRITICAL-EVALUATION OF SURGICAL-TREATMENT AFTER EARLY AND LONG-TERM FOLLOW-UP

被引：21

作者：

ARNOLD, H ^{[1
]}

FELDMANN, U ^{[1
]}

MISSLER, U ^{[1
]}

机构：

[1] UNIV HAMBURG,KRANKENHAUS EPPENDORF,DEPT NEUROSURG,W-2000 HAMBURG 20,GERMANY

来源：

NEUROSURGICAL REVIEW | 1993年 / 16卷 / 02期

关键词：

CERVICAL FUSION; CERVICAL MYELOPATHY; NARROW SPINAL CANAL;

D O I：

10.1007/BF00258239

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In the past, chronic spondylogenic cervical myelopathy has been thought of being a disease often resistent 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 meanwhile had died due to myelopathy. Laminectomy turned out to be the least succesful 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.

引用

页码：105 / 109

页数：5