Long-Term Follow-up of Surgical Treatment of Cervical Myelopaty.

概要

論文の詳細を見る
144 patients with cervical myelopathy, due to spondylosis and occification of posterior longitudinal ligament, were surgically treated and followed from 10 to 30 years (mean, 16 years). In 90 patients (62%), good result was maintained for a short-term follow-up to a long-term. In 40 cases (28%), late decline of operative results occurred as long as 1 to 5 or 6 years after improvement and plateau. And 11 cases of these deteriorated. The decline was mainly caused by benign prostatic hypertrophy, degenerative joint disease, fracture of femoral neck, apoplexy and cerebral arteriosclerosis. The deterioration of cervical myelopathy was observed only in 5 cases, of which 4 cases were caused by degenerative change of adjacent intervertebral joint on anterior body fusion and one was caused by increase of kyphosis of cervical spine after laminectomy.
西日本整形・災害外科学会の論文