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学科主题临床医学
Segmental instability in cervical spondylotic myelopathy with severe disc degeneration
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
2006-05-20
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
引用统计
被引频次:31[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/56095
专题北京大学第二临床医学院_脊柱外科
作者单位Peking Univ, Peoples Hosp, Dept Spinal Surg, Beijing 100034, Peoples R China
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GB/T 7714
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.
APA Wang, B,Liu, HY,Wang, HM,&Zhou, DG.(2006).Segmental instability in cervical spondylotic myelopathy with severe disc degeneration.SPINE,31(12),1327-1331.
MLA Wang, B,et al."Segmental instability in cervical spondylotic myelopathy with severe disc degeneration".SPINE 31.12(2006):1327-1331.
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