周秉文,陈伯华.发育性颈椎椎管狭窄症[J].中国脊柱脊髓杂志,1992,(1):. |
发育性颈椎椎管狭窄症 |
中文关键词: 椎管,发育性狭窄,颈脊髓病,椎管成形术 |
中文摘要: |
测量50例颈椎骨干标本,确定男11mm,女10mm以下为狭窄椎管。10具成人固定标本观察在最大伸、屈位时,脊髓变短,硬膜褶皱,间盘黄韧带截面矢径变小。统计病人13例,占同期颈椎病性脊髓病的18.6%;年龄超过50岁者10例,9例病程超过半年。首发症状为进行性下肢麻木无力,颈、胸平面以下不同程度痛觉减退,锥体束征阳性。X线平片测量、脊髓造影、CT或CTM皆示椎管发育性狭窄。行椎板切除1例,后路椎板扩大成形12例,除椎板切除1例远期效果欠佳外,余皆有明显改进。作者提出了本症的特征及诊断条件,认为确诊后以单开门椎管扩大成形、棘突骨支撑植骨术为佳。 |
The developmental stenosis of cervical spinal canal |
英文关键词:Spinal canal,Developmental stenosis,Cervical myelopathy,En bloc laminoplasty |
英文摘要: |
Thirteen cases of developmetal stenosis of cervical spinal canal (DSCSC). about 18. 6 % of the observed cervical spondylotic myelopathy, were analyzed. 77% were over 50 years old and in 69% their symptoms had been appeared over 6 months before their admis |
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周秉文 陈伯华 |
青岛医学院附院骨科
(周秉文,陈伯华,陈晓亮,郦明国,胡有谷,赵振玖) ,青岛医学院附院骨科(郑英刚)
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