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首页> 外文期刊>British journal of neurosurgery >Clinical and radiological outcomes in 153 patients undergoing oblique corpectomy for cervical spondylotic myelopathy
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Clinical and radiological outcomes in 153 patients undergoing oblique corpectomy for cervical spondylotic myelopathy

机译：153例颈椎病性脊髓病患者行斜体切除术的临床和影像学结果

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Objective. To document the clinical and radiological outcomes in a large series of patients undergoing the oblique cervical corpectomy (OCC) for spondylotic myelopathy. Materials and methods. We retrospectively analyzed our series of 153 patients undergoing OCC for cervical spondylotic myelopathy (CSM) over the last 10 years. A mean clinical follow-up of 3 years was obtained in 125 patients (81.7%), while 117 patients (76.5%) were followed up radiologically. Neurological function was measured by the Nurick grade and the modified Japanese Orthopedic Association score (JOA). Plain radiographs and magnetic resonance images (MRI) were reviewed. Results. Ninety-two percent were men with a mean age of 51 years and a mean duration of symptoms of 18 months. Sixty-one had a single level corpectomy, 66 had a 2-level, 24 had a 3-level, and two had a 4-level OCC. There was statistically significant improvement (p < 0.05) in both the Nurick grade and the JOA score at mean follow-up of 34.6 ± 25.4 months. Permanent Horner's syndrome was seen in nine patients (5.9%), postoperative C5 radiculopathy in five patients (3.3%), dural tear with CSF leak in one patient (0.7%), and vertebral artery injury in one patient (0.7%). Of the 117 patients who were followed up radiologically, five patients (4.3%) developed an asymptomatic kyphosis of the cervical spine while 22 patients (25.6%) with preoperative lordotic spines had a straightening of the whole spine curvature. Conclusions. The OCC is a safe procedure with good outcomes and a low morbidity for treating cervical cord compression due to CSM. This procedure avoids graft-related complications associated with the central corpectomy, but is technically demanding.
机译：目的。记录在进行斜颈椎体切除术（OCC）引起的脊椎脊髓病的一系列患者中的临床和放射学结果。材料和方法。我们回顾性分析了过去10年中我们的153例因颈椎病性脊髓病（CSM）接受OCC的患者。 125例患者（81.7％）获得了3年的平均临床随访，而放射学随访了117例（76.5％）。神经功能通过Nurick评分和改良的日本骨科协会评分（JOA）进行测量。回顾了平片和磁共振图像（MRI）。结果。百分之九十二的男性平均年龄为51岁，平均症状持续时间为18个月。单层切除术有61例，二级切除术有66例，三级切除术有24例，OCC切除术有2例。在平均随访时间为34.6±25.4个月时，Nurick评分和JOA评分均在统计学上有显着改善（p <0.05）。永久性霍纳综合症有9例（5.9％），术后C5神经根病5例（3.3％），硬脑膜撕裂伴CSF漏出1例（0.7％），椎动脉损伤1例（0.7％）。在117例接受放射学随访的患者中，有5例（4.3％）出现了无症状的颈椎后凸，而22例（25.6％）的术前脊柱前凸患者的整个脊柱曲度都变直了。结论OCC是治疗CSM所致颈脊髓压迫的安全方法，具有良好的疗效和较低的发病率。该过程避免了与中央体切除术相关的移植相关并发症，但在技术上要求很高。

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