...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Chiropractic and Manual Therapies >Cervical spondylosis with spinal cord encroachment: should preventive surgery be recommended?
【24h】

Cervical spondylosis with spinal cord encroachment: should preventive surgery be recommended?

机译：颈椎病伴脊髓侵犯：应建议采取预防性手术吗？

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background It has been stated that individuals who have spondylotic encroachment on the cervical spinal cord without myelopathy are at increased risk of spinal cord injury if they experience minor trauma. Preventive decompression surgery has been recommended for these individuals. The purpose of this paper is to provide the non-surgical spine specialist with information upon which to base advice to patients. The evidence behind claims of increased risk is investigated as well as the evidence regarding the risk of decompression surgery. Methods A literature search was conducted on the risk of spinal cord injury in individuals with asymptomatic cord encroachment and the risk and benefit of preventive decompression surgery. Results Three studies on the risk of spinal cord injury in this population met the inclusion criteria. All reported increased risk. However, none were prospective cohort studies or case-control studies, so the designs did not allow firm conclusions to be drawn. A number of studies and reviews of the risks and benefits of decompression surgery in patients with cervical myelopathy were found, but no studies were found that addressed surgery in asymptomatic individuals thought to be at risk. The complications of decompression surgery range from transient hoarseness to spinal cord injury, with rates ranging from 0.3% to 60%. Conclusion There is insufficient evidence that individuals with spondylotic spinal cord encroachment are at increased risk of spinal cord injury from minor trauma. Prospective cohort or case-control studies are needed to assess this risk. There is no evidence that prophylactic decompression surgery is helpful in this patient population. Decompression surgery appears to be helpful in patients with cervical myelopathy, but the significant risks may outweigh the unknown benefit in asymptomatic individuals. Thus, broad recommendations for decompression surgery in suspected at-risk individuals cannot be made. Recommendations to individual patients must consider possible unique circumstances.
机译：背景技术已经表明，患有颈椎病而无脊髓病的颈椎病侵犯的个体，如果受到轻微的创伤，则有增加脊髓损伤的风险。对于这些人，建议进行减压手术。本文的目的是为非手术脊柱专家提供信息，以为患者提供建议。调查了声称风险增加的证据以及有关减压手术风险的证据。方法对无症状侵犯脊髓的个体进行脊髓损伤的风险以及预防性减压手术的风险和获益进行了文献检索。结果该人群中三项脊髓损伤风险的研究符合纳入标准。所有报告的风险增加。但是，前瞻性队列研究或病例对照研究均无，因此设计无法得出明确的结论。已发现对颈椎病患者减压手术的风险和益处的许多研究和评论，但是没有发现针对无症状个体中认为有风险的手术的研究。减压手术的并发症范围从短暂的嘶哑到脊髓损伤，其发生率从0.3％到60％不等。结论没有足够的证据表明患有脊柱脊髓炎的人受到轻微创伤的脊髓损伤风险增加。需要前瞻性队列研究或病例对照研究来评估这种风险。没有证据表明预防性减压手术对该患者人群有帮助。减压手术似乎对颈椎病患者有帮助，但是对无症状患者的重大风险可能超过其未知的益处。因此，无法对在高危人群中进行减压手术提出广泛的建议。给个别患者的建议必须考虑可能的独特情况。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号