EARLY DIAGNOSIS OF CERVICAL SPONDYLOTIC MYELOPATHY - A USEFUL CLINICAL SIGN

被引：42

作者：

DENNO, JJ

MEADOWS, GR

机构：

[1] South Texas Spinal Clinic, San Antonio, TX

来源：

SPINE | 1991年 / 16卷 / 12期

关键词：

HOFFMANN SIGN; DYNAMIC HOFFMAN SIGN; CERVICAL SPONDYLOTIC MYELOPATHY;

D O I：

10.1097/00007632-199112000-00001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

This is a retrospective study of 67 patients, seen during a 4-year period, with cervical pathology requiring surgical correction. The purpose of this study was to evaluate the usefulness of a new physical finding (dynamic Hoffmann's sign) in diagnosing early cervical myelopathy or in suggesting a narrow cervical canal clinically. Hoffman's sign was checked with the head in neutral (static) and during multiple active full flexion to extension as tolerated by the patient (dynamic). Forty patients had negative Hoffman's signs, 20 had positive static Hoffman's signs, and 7 had positive dynamic Hoffman's signs. Canal measurements were made on eight randomly selected negative patients on both plain films and myelographic studies, and on the seven positive patients. A positive dynamic Hoffmann's sign was consistent with a narrow sagittal diameter of the cervical canal, and aided clinically in making the diagnosis of early cervical spondylotic myelopathy or congenital cervical narrowing.

引用

页码：1353 / 1355

页数：3

共 18 条

[1]

Adams C., Logue V., Studies in cervical spondylotic myelopathy. I. Movement in the cervical roots, dura and cord and their relations to the course of the extrathecal roots, Brain, 94, pp. 557-568, (1971)

[2]

Adams C., Logue V., Studies in cervical spondylotic myelopathy. II. The movement and the contour of the spine in relation to the neural complications of cervical spondylosis, Brain, 94, pp. 569-586, (1971)

[3]

Adams C., Logue V., Studies in cervical spondylotic myelopathy. III. Some functional effects of operations for cervical spondylotic myelopathy, Brain, 94, pp. 587-594, (1971)

[4]

Brain L., Wilkinson M., Cervical Spondylolysis and Other Disorders of the Cervical Spine, pp. 146-149, (1967)

[5]

Burrows E.H., The sagittal diameter of the spinal canal in cervical spondylol-, ysis, Clin Radiol, 17, pp. 77-86, (1963)

[6]

Clarke E., Robinson P.K., Cervical myelopathy: A complication of cervical spondylosis, Brain, 79, pp. 483-510, (1956)

[7]

Dichiro G., Fisher R.L., The contrast radiography of the spinal cord, Arch Neurol, 11, (1964)

[8]

Gruninger W., Gruss P., Stenosis and movement of the cervical spine in cervical myelopathy, Paraplegia, 20, pp. 121-130, (1982)

[9]

Key A., Retzius G., Studien in Der Anatomie Des Nerven Systems and Des Bindgewebes, 1, pp. 82-111, (1875)

[10]

Moiel R.H., Rasso E., Waltz T.H., Central cord syndrome resulting from congenital narrowing of the cervical canal, J Trauma, 10, pp. 502-510, (1970)

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