CERVICAL SPONDYLOTIC MYELOPATHY - TREATMENT WITH POSTERIOR DECOMPRESSION AND LUQUE RECTANGLE BONE FUSION

被引:32
作者
MAURER, PK [1 ]
ELLENBOGEN, RG [1 ]
ECKLUND, J [1 ]
SIMONDS, GR [1 ]
VANDAM, B [1 ]
ONDRA, SL [1 ]
机构
[1] WALTER REED ARMY MED CTR, DIV ORTHOPED SURG, WASHINGTON, DC 20307 USA
关键词
CERVICAL MYELOPATHY; CERVICAL SPINE; CERVICAL SPONDYLOSIS; LAMINECTOMY; SPINAL STABILIZATION;
D O I
10.1227/00006123-199105000-00007
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cervical spondylotic myelopathy appears to result from a combination of factors. The two major components are 1) compressive forces resulting from narrowing of the spinal canal, and 2) dynamic forces owing to mobility of the cervical spine. There is substantial evidence to suggest that the repetitive trauma to the spinal cord that is sustained with movement in a spondylotic canal may be a major cause of progressive myelopathy. Utilization of extensive anterior procedures that remove the disease ventral features as well as eliminate the dynamic forces owing to the accompanying fusion have grown in popularity. Cervical laminectomy enlarges the spinal canal, but does not reduce the dynamic forces affecting the spinal cord, and may actually increase cervical mobility, leading to a perpetuation of the myelopathy. The authors propose the combination of posterior decompression and Luque rectangle bone fusion to deal with both the compressive and the dynamic factors that lead to cervical spondylotic myelopathy. Ten patients who had advanced myelopathy underwent the combined procedures. Nine of the 10 experienced significant neurological improvement, and the 10th has had no progression. The combination of posterior decompression and Luque rectangle bone fusion may offer a simple, safe, and effective alternative treatment for cervical spondylotic myelopathy.
引用
收藏
页码:680 / 684
页数:5
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