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首页> 外文期刊>Neuroscience Journal >Functional Outcomes of Surgery in Cervical Spondylotic Radiculopathy versus Myelopathy: A Comparative Study
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Functional Outcomes of Surgery in Cervical Spondylotic Radiculopathy versus Myelopathy: A Comparative Study

机译：颈椎神经根神经根病与脊髓病的手术功能结局：比较研究

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摘要

Background. Cervical spondylosis can cause three different categories of symptoms and signs with possible overlap in the affected patients.Aim. We aim to compare functional outcome of surgery in the patients with cervical spondylotic radiculopathy and myelopathy, regardless of their surgical type and approach.Materials and Methods. We retrospectively reviewed 140 patients with cervical spondylotic radiculopathy and myelopathy who had been operated from August 2006 to January 2011, as Group A (68 cases) and Group B (72 cases), respectively. The mean age was 48.2 and 55.7 years, while the mean followup was 38.9 and 37.3 months, respectively. Functional outcome of the patients was assessed by neck disability index (NDI) and patient satisfaction with surgery.Results. Only in Group A, the longer delay caused a worse surgical outcome (NDI). In addition, in Group B, there was no significant relationship between imaging signal change of the spinal cord and our surgical outcomes. Improvement in NDI and final satisfaction rate in both groups are comparable.Conclusions. Surgery was associated with an improvement in NDI in both groups (P<0.001). The functional results in both groups were similar and comparable, regarding this index and patient's satisfaction score.
机译：背景。颈椎病可引起三种不同类型的症状和体征，在受影响的患者中可能重叠。我们旨在比较颈椎型神经根神经病和脊髓病患者的手术功能结局，无论其手术类型和方法如何。材料与方法。我们回顾性分析2006年8月至2011年1月手术的140例颈椎神经根神经根病和脊髓病患者，分别为A组（68例）和B组（72例）。平均年龄分别为48.2和55.7岁，平均随访时间分别为38.9和37.3个月。通过颈部残疾指数（NDI）和患者对手术的满意度来评估患者的功能结局。仅在A组中，较长的延迟导致较差的手术结果（NDI）。此外，在B组中，脊髓的影像信号变化与我们的手术结果之间没有显着的关系。两组的NDI改善和最终满意度都有可比性。两组手术均与NDI改善有关（P <0.001）。就该指数和患者的满意度评分而言，两组的功能结果相似且相当。

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