SURGICAL DECOMPRESSIVE PROCEDURES FOR CERVICAL SPONDYLOTIC MYELOPATHY - A STUDY USING MAGNETIC-RESONANCE-IMAGING

被引：9
作者：
BATZDORF, U
FLANNIGAN, BD
机构：
[1] Department of Surgery (Neurosurgery), UCLA school of Medicine, Los Angeles, CA
[2] Department of Neuroradiology, Valley Presbyterian Hospital, Van Nuys, CA
来源：
SPINE | 1991年 / 16卷 / 02期
关键词：
Cervical decompressive procedure; Cervical spine; Cervical spondylotic myelopathy; Magnetic resonance imaging;
D O I：
10.1097/00007632-199102000-00004
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Twenty-two patients who underwent a surgical decompressive procedure for cervical spondylotic myelopathy were studied with magnetic resonance imaging to evaluate the effectiveness of their decompressive procedures. Twelve patients were judged as adequately decompressed by magnetic resonance imaging criteria. Ten patients exhibited evidence of residual cord indentation. This along with cord atrophy, gliosis, and abnormal spine curvature presumably contributed to residual deficit in several patients. One patient underwent a second decompressive procedure for residual cord indentation, which subsequently improved, as seen on his second postoperative magnetic resonance image. Magnetic resonance imaging was useful in distinguishing mechanical problems from intrinsic cord damage or atrophy. Magnetic resonance imaging should be used after operation in patients with residual deficit to detect patients who may be considered for a second decompressive procedure.
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页码：123 / 127
页数：5
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