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首页> 外文期刊>European journal of neurology: the official journal of the European Federation of Neurological Societies >Predictive factors for spondylotic cervical myelopathy treated conservatively or surgically.
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Predictive factors for spondylotic cervical myelopathy treated conservatively or surgically.

机译：保守或手术治疗脊椎颈椎病的预测因素。

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摘要

A prospective 3-year randomized study comparing conservative and surgical treatment of spondylotic cervical myelopathy to establish predictive factors for outcome after conservative treatment and surgery. The clinical, electrophysiological and imaging parameters were examined to reveal how they characterized the clinical outcome. The patients with a good outcome in the conservatively treated group were of older age before treatment, had normal central motor conduction time (CMCT), and possessed a larger transverse area of the spinal cord. The patients with a good outcome in the surgically treated group had a more serious clinical picture (expressed in mJOA score and slower walk). Patients should rather be treated conservatively if they have a spinal transverse area larger than 70 mm(2), are of older age and have normal CMCT. Surgery is more suitable for patients with clinically worse status and a lesser transverse area of spinal cord.
机译：一项为期3年的前瞻性研究，比较了脊柱颈椎病的保守治疗和手术治疗，以建立保守治疗和手术后结局的预测因素。检查了临床，电生理和影像学参数，以揭示它们如何表征临床结果。保守治疗组预后良好的患者在治疗前年龄较大，中枢运动传导时间（CMCT）正常，并且脊髓横断面积较大。手术治疗组预后良好的患者的临床表现更为严重（表现为mJOA评分和较慢的行走）。如果脊柱横截面积大于70 mm（2），年龄较大且CMCT正常，则应该保守治疗。手术更适合临床状况较差且脊髓横断面积较小的患者。

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