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学科主题: 临床医学
题名:
Anterior Cervical Discectomy and Fusion to Treat Cervical Spondylosis With Sympathetic Symptoms
作者: Hong, Liu2; Kawaguchi, Yoshiharu1
关键词: anterior procedure ; cervical discectomy and fusion ; treatment ; cervical spondylosis ; sympathetic symptoms
刊名: JOURNAL OF SPINAL DISORDERS & TECHNIQUES
发表日期: 2011-02-01
DOI: 10.1097/BSD.0b013e3181dd80f5
卷: 24, 期:1, 页:11-14
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Orthopedics
研究领域[WOS]: Neurosciences & Neurology ; Orthopedics
英文摘要:

Study Design: Retrospective study.

Objective: To investigate the clinical effectiveness of polytheretherketone (PEEK) cages-assisted anterior cervical discectomy and fusion (ACDF) to treat cervical spondylosis with sympathetic symptoms.

Summary of Background Data: The diagnosis and treatment of cervical spondylosis with sympathetic symptoms has remained controversial. To date, few reports have focused on the surgical efficacy of cervical spondylosis with sympathetic symptoms.

Methods: Retrospective analysis was undertaken for 39 patients who were diagnosed as cervical spondylosis with sympathetic symptoms and underwent ACDF with PEEK cages. They were followed up for at least 1 year. The mean follow-up was 15.6 months. Radiographs obtained before surgery, after surgery, and at the final follow-up were assessed for quality of fusion. The sympathetic symptoms including vertigo, headache, tinnitus, nausea and vomiting, heart throb, hypomnesia, and gastroenterologic discomfort were scored by 20-point system preoperatively, 2 months postoperatively, and at the final follow-up. The recovery rate and clinical satisfaction rate were also evaluated. Surgical complications were also assessed.

Results: Radiographs of the cervical spine at the last follow-up revealed a solid fusion with no signs of a pseudoarthrosis in 36 cases. In 2 patients delayed union and bony fusion were achieved at 9 and 11 months. Pseudoarthrosis was found in 1 case but the patient had no symptoms. The sympathetic symptoms improved in all patients and the score was significantly improved after surgery. There was one patient who had cerebral spinal fluid leakage but he recovered 1 week after surgery. Two patients felt a mild swallowing discomfort, but it disappeared within 1 month after surgery. Subcutaneous hematoma occurred in one patient due to obstructed drainage. It was cleared 2 days after surgery.

Conclusions: Cervical spondylosis patients with sympathetic symptoms may be managed successfully with ACDF using PEEK cages. Successful clinical results regarding symptom improvement and general satisfaction with the surgical procedure depend on obtaining successful decompression and radiographic fusion.

语种: 英语
WOS记录号: WOS:000286622500005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/51599
Appears in Collections:北京大学第一临床医学院_骨科_期刊论文

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作者单位: 1.Toyama Univ, Fac Med, Dept Orthopaed Surg, Toyama 9300194, Japan
2.Peking Univ, Hosp 1, Dept Orthopaed, Beijing 100871, Peoples R China

Recommended Citation:
Hong, Liu,Kawaguchi, Yoshiharu. Anterior Cervical Discectomy and Fusion to Treat Cervical Spondylosis With Sympathetic Symptoms[J]. JOURNAL OF SPINAL DISORDERS & TECHNIQUES,2011,24(1):11-14.
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