| Autor: |
Tani, T., Ishida, K., Ushida, T., Yamamato, H. |
| Zdroj: |
Journal of Bone and Joint Surgery - British Volume; March 2000, Vol. 82 Issue: 2 p269-274, 6p |
| Abstrakt: |
We treated 31 patients aged 65 years or more with cervical spondylotic myelopathy by microsurgical decompression and fusion at a single most appropriate level, in spite of MRI evidence of compression at several levels. Spinal cord potentials evoked at operation localised the level responsible for the principal lesion at C3-4 in 18 patients, C4-5 in 11 and at C5-6 in two. Despite the frequent coexistence of other age-related conditions, impairing ability to walk, the average Nurick grade improved from 3.5 before operation to 2.2 at a mean follow-up of 48 months. There was also good recovery of finger dexterity and sensitivity.Operation at a single optimal level, as opposed to several, has the advantage of minimising complications, of particular importance in this age group. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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