北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第二临床医学院  > 脊柱外科  > 期刊论文
学科主题: 临床医学
题名:
Segmental instability in cervical spondylotic myelopathy with severe disc degeneration
作者: Wang, B; Liu, HY; Wang, HM; Zhou, DG
关键词: cervical spondylotic myelopathy ; severe disc degeneration ; segmental instability ; spinal cord compression ; surgical treatment
刊名: SPINE
发表日期: 2006-05-20
卷: 31, 期:12, 页:1327-1331
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
关键词[WOS]: TERM-FOLLOW-UP ; EXPANSIVE LAMINOPLASTY ; LONGITUDINAL LIGAMENT ; SURGICAL-TREATMENT ; INTERBODY FUSION ; ADJACENT ; SPINE ; DECOMPRESSION ; ARTHRODESIS ; OSSIFICATION
英文摘要:

Study Design. A retrospective study was conducted.

Objective. To investigate relationships between severe disc degeneration (SDD) and segmental instability in cervical spondylotic myelopathy (CSM) and to discuss surgical treatment for CSM with severe disc degeneration.

Summary of Background Data. Information on relationships between segmental instability and spinal cord compression in CSM with severe disc degeneration is scarce.

Methods. Radiographs and magnetic resonance images of patients with CSM with (n = 42) and without (n = 75) SDD were reviewed retrospectively. Cervical instability and spinal cord compression factors were analyzed. Outcomes of anterior cervical decompression and fusion (ACDF) and expansive laminoplasty (ELAP) were evaluated in medical records of follow-up clinics.

Results. Segmental instability was found in 71.4% of patients with SDD and 22.7% of patients without SDD. Spinal cord compression was found at the intervertebral space of SDD and upper adjacent disc space. The recovery rate of ACDF and ELAP was 60.8% and 57.1%, respectively.

Conclusion. The upper adjacent vertebra above SDD has inclination of segmental instability. There is static spinal cord compression in intervertebral spaces of SDD and dynamic compression in upper adjacent intervertebral spaces. Multilevel anterior cervical decompression and fusion or expansive laminoplasty should be used for surgical treatment.

语种: 英语
WOS记录号: WOS:000237812300008
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56095
Appears in Collections:北京大学第二临床医学院_脊柱外科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: Peking Univ, Peoples Hosp, Dept Spinal Surg, Beijing 100034, Peoples R China

Recommended Citation:
Wang, B,Liu, HY,Wang, HM,et al. Segmental instability in cervical spondylotic myelopathy with severe disc degeneration[J]. SPINE,2006,31(12):1327-1331.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Wang, B]'s Articles
[Liu, HY]'s Articles
[Wang, HM]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Wang, B]‘s Articles
[Liu, HY]‘s Articles
[Wang, HM]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace