One Stage Operation for Cervical Myelopathy Patients Combined with Lumbar Canal Stenosis

Autor:	Teruaki Ohashi, Osamu Miyagi, Masakazu Morita, Kensei Nagata, Akio Inoue, Munehito So, Katsu Yanaga, Jun Abe
Rok vydání:	1994
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Laminectomy Lumbar canal stenosis Laminoplasty medicine.disease Sagittal plane Surgery One stage operation Myelopathy Lumbar medicine.anatomical_structure Cervical spondylosis Medicine business
Zdroj:	Orthopedics & Traumatology. 43:1257-1259
ISSN:	1349-4333 0037-1033
Popis:	Eighteen cervical myelopathy patients who had combined lumbar canal stenosis underwent one stage decompression surgery, between 1989 and 1993. There were 14 males and 4 females, with a mean age of 69 years. The underlying causative condition was cervical spondylosis in 13 patients, OPLL in 5, lumbar spondylosis in 16, and lumbar degenerative spondylolisthesis in 2. The method of cervical operation was expansive laminoplasty using sagittal splitting of the spinous process, and the lumbar operation performed was wide laminectomy. Operative results were evaluated according to the modified Japanese Orthopaedic Association (JOA) score, after a mean follow-up period of 1 year 2 months. The mean recovery rate was 39%, with a recovery of 50% or more achieved in 7 patients (39%). An advantage of the one stage operation was shortening the period of treatment. For establishing an accurate indication of one stage operation, a detailed history and also neurologic examination are most important. Image diagnosis is useful for supporting rather than confirmatory evidence.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::84ecce85b3f963c84b447edd62d51d53 https://doi.org/10.5035/nishiseisai.43.1257 Zobrazit plný text záznamu