Cervical Spondylotic Myelopathy: A Review of the Evidence

被引：99
|
作者：
Klineberg, Eric [1 ]
机构：
[1] Dept Orthopaed, Sacramento, CA 95817 USA
来源：
ORTHOPEDIC CLINICS OF NORTH AMERICA | 2010年 / 41卷 / 02期
关键词：
Cervical spondylotic myelopathy; Corpectomy; Laminectomy; Cervical arthroplasty; MATCHED-COHORT ANALYSIS; SURGICAL-TREATMENT; CONSERVATIVE TREATMENT; COMPRESSIVE MYELOPATHY; SUBTOTAL CORPECTOMY; POSTERIOR APPROACH; NATURAL-HISTORY; SPINAL STENOSIS; LAMINOPLASTY; MANAGEMENT;
D O I：
10.1016/j.ocl.2009.12.010
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Cervical spondylotic myelopathy (CSM) is the most common progressive spinal cord disorder in patients more than 55 years old. This disease is also the most common cause of acquired spasticity in later life and may lead to progressive spasticity and neurologic decline. This article explores some of the controversies about CSM and reviews pertinent articles, specifically prospective and randomized clinical trials when possible, to obtain the cleanest and least biased data. The 4 current controversial topics that surround CSM are: (1) natural history of mild CSM; (2) surgical approach: anterior versus posterior; (3) laminoplasty or laminectomy; and (4) cervical arthroplasty for CSM.
引用
收藏
页码：193 / +
页数：11
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