Management of the Patient with Cervical Cord Compression but no Evidence of Myelopathy What Should We do?

被引：9

作者：

Naito, Kentaro ^{[1
]}

Yamagata, Toru ^{[2
]}

Ohata, Kenji ^{[1
]}

Takami, Toshihiro ^{[1
]}

机构：

[1] Osaka City Univ, Grad Sch Med, Dept Neurosurg, Abeno Ku, 1-4-3 Asahi Machi, Osaka 5458585, Japan

[2] Osaka City Gen Hosp, Dept Neurosurg, Miyakojima Ku, 2-13-22 Miyakojimahondori, Osaka 5310021, Japan

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2018年 / 29卷 / 01期

关键词：

Aging spine; Cervical spondylotic myelopathy; Degenerative cervical myelopathy; Degenerative disk disease; Ossification of the posterior longitudinal ligament; INCREASED SIGNAL INTENSITY; DIFFUSION TENSOR MRI; SPONDYLOTIC MYELOPATHY; SPINAL-CORD; PROGNOSTIC-FACTORS; MULTICENTER; DEPRESSION; PARAMETERS; DISORDERS; EFFICACY;

D O I：

10.1016/j.nec.2017.09.010

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Degenerative cervical myelopathy (DCM) eventually affects not only activities of daily living but also quality of life. DCM is usually a gradually progressive, sometimes irreversible, disease of the cervical spinal cord, although there is always a risk of acute deterioration caused by minor trauma. There is still not enough evidence regarding the prognosis of mild DCM without surgical treatment, and conservative treatment seems a reasonable option, although patients need to be followed up closely because some do deteriorate over time. However, surgeons need to understand the importance of decision making in the surgical management of mild DCM.

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页码：145 / +

页数：9

相关论文

共 34 条

[1] Evidence for cervical cord tissue disorganisation with aging by diffusion tensor MRI [J].

Agosta, Federica ;

Lagana, Marcella ;

Valsasina, Paola ;

Sala, Stefania ;

Dall'Occhio, Luca ;

Sormani, Maria P. ;

Judica, Elda ;

Filippi, Massimo .

NEUROIMAGE, 2007, 36 (03) :728-735

[2] Prediction of the efficacy of surgical intervention in patients with cervical myelopathy by using diffusion tensor 3T-magnetic resonance imaging parameters [J].

Arima, Hironori ;

Sakamoto, Shinichi ;

Naito, Kentaro ;

Yamagata, Toru ;

Uda, Takehiro ;

Ohata, Kenji ;

Takami, Toshihiro .

JOURNAL OF CRANIOVERTEBRAL JUNCTION AND SPINE, 2015, 6 (03) :120-124

[3] Presymptomatic spondylotic cervical cord compression [J].

Bednarik, J ;

Kadanka, Z ;

Dusek, L ;

Novotny, O ;

Surelova, D ;

Urbanek, I ;

Prokes, B .

SPINE, 2004, 29 (20) :2260-2269

[4] Diffusion Tensor MR Imaging in Chronic Spinal Cord Injury [J].

Ellingson, B. M. ;

Ulmer, J. L. ;

Kurpad, S. N. ;

Schmit, B. D. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2008, 29 (10) :1976-1982

[5]

Facon D, 2005, AM J NEURORADIOL, V26, P1587

[6] Cervical Spondylotic Myelopathy Current State of the Art and Future Directions [J].

Fehlings, Michael G. ;

Tetreault, Lindsay A. ;

Wilson, Jefferson R. ;

Skelly, Andrea C. .

SPINE, 2013, 38 (22) :S1-S8

[7] Efficacy and Safety of Surgical Decompression in Patients with Cervical Spondylotic Myelopathy Results of the AOSpine North America Prospective Multi-Center Study [J].

Fehlings, Michael G. ;

Wilson, Jefferson R. ;

Kopjar, Branko ;

Yoon, Sangwook Tim ;

Arnold, Paul M. ;

Massicotte, Eric M. ;

Vaccaro, Alexander R. ;

Brodke, Darrel S. ;

Shaffrey, Christopher I. ;

Smith, Justin S. ;

Woodard, Eric J. ;

Banco, Robert J. ;

Chapman, Jens R. ;

Janssen, Michael E. ;

Bono, Christopher M. ;

Sasso, Rick C. ;

Dekutoski, Mark B. ;

Gokaslan, Ziya L. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2013, 95A (18) :1651-1658

[8] Usefulness of somatosensory evoked magnetic field dipole measurements by magnetoencephalography for assessing spinal cord function [J].

Goto, T ;

Tsuyuguchi, N ;

Hata, K ;

Tsutada, T ;

Hattori, H ;

Shimogawara, M ;

Matusaka, Y ;

Sakamoto, S ;

Hara, M .

JOURNAL OF NEUROSURGERY, 2002, 96 (01) :62-67

[9] Line scan diffusion tensor MRI at low magnetic field strength: Feasibility study of cervical spondylotic myelopathy in an early clinical stage [J].

Hori, M ;

Okubo, T ;

Aoki, S ;

Kumagai, H ;

Araki, T .

JOURNAL OF MAGNETIC RESONANCE IMAGING, 2006, 23 (02) :183-188

[10] Approaches to spondylotic cervical myelopathy -: Conservative versus surgical results in a 3-year follow-up study [J].

Kadanka, Z ;

Mares, M ;

Bednarík, J ;

Smrcka, V ;

Krbec, M ;

Stejskal, L ;

Chaloupka, R ;

Surelová, D ;

Novotny, O ;

Urbánek, I ;

Dusek, L .

SPINE, 2002, 27 (20) :2205-2210

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