Relationships between sagittal alignment of the cervical spine and morphology of the spinal cord and clinical outcomes in patients with cervical spondylotic myelopathy treated with expansive laminoplasty

被引：50

作者：

Kawakami, M ^{[1
]}

Tamaki, T ^{[1
]}

Ando, M ^{[1
]}

Yamada, H ^{[1
]}

Yoshida, M ^{[1
]}

机构：

[1] Wakayama Med Univ, Dept Orthopaed Surg, Wakayama 6410012, Japan

来源：

JOURNAL OF SPINAL DISORDERS & TECHNIQUES | 2002年 / 15卷 / 05期

关键词：

cervical spondylotic myelopathy; sagittal alignment; laminoplasty; clinical outcome;

D O I：

10.1097/00024720-200210000-00008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A total of 103 patients with cervical spondylotic myelopathy undergoing laminoplasty were retrospectively reviewed to evaluate whether sagittal alignment of the cervical spine and morphology of the spinal cord influence surgical outcomes. Sagittal alignment of the cervical spine did not influence surgical outcomes. Neurologic recovery in patients with anterior convexity of the spinal cord was better than in those without this type of spinal cord. In patients with supplementation of decompression at C2, sagittal morphology of the spinal cord did not influence neurologic recovery. It is important to acquire anterior convexity of the spinal cord after surgery if laminoplasty is performed below C3. In patients with kyphosis, where anterior convexity of the spinal cord is not thought to be obtained postoperatively, it is possible that additional decompression of C2 improves outcome.

引用

页码：391 / 397

页数：7