Result of anterior decompression and fusion for multisegmental cervical myelopathy.

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概要

• 論文の詳細を見る

• Anterior surgical procedure (AIF) for multisegmental cervical myelopathy was evaluated on a follow-up study of 3I cases. Surgical results were determined by using a score proposed by the Japanese Orthopedic Associatin.Final rate of recovery (%) was 53.4% in two disc levels of AIF and 63.4% in three disc levels of AIF. There was no apparent difference in the results between these two groups. Eleven cases showed unsatisfactory results of percent recovery less than 49%. Causative factors of these cases were related to insufficient decompressive procedures and narrow canal.Our anterior procedures using Smith-Robinson's modified technique were useful in the following cases of multi-segmental cervical myelopathy. Those cases were disc diseases within three discc levels combined sagittal cervical canal diameter wider than I3mm.In the case of sagittal cervical canal diameter of less than I2mm, we believe that one stage posterior decompression and anterior fusion or laminoplasty is the procedure of choice.

• 西日本整形・災害外科学会の論文

著者

• 島内 卓

  福岡市立第一病院 整形外科

• 小山 正信

  福岡市立第1病院整形外科

• 中村 博

  福岡市立第一病院 整形外科

• 黒瀬 眞之輔

  福岡市立第一病院 整形外科

• 小山 正信

  福岡市立第一病院 整形外科

• 島内 卓

  福岡市立第1病院整形外科

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