Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (13): 2037-2042.doi: 10.3969/j.issn.2095-4344.2014.13.012

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Correlation of posterior cervical decompression with spinal cord shifting backward distance and axial symptoms 

Wang Hao1, 2, Wang Pei3   

  1. 1Tianjin Medical University, Tianjin 300070, China; 2Affiliated Hospital of the Chinese People’s Armed Police Force Logistics College, Tianjin 300162, China; 3General Hospital of Tianjin Medical University, Tianjin 300052, China
  • Received:2014-01-04 Online:2014-03-26 Published:2014-03-26
  • Contact: Wang Pei, Chief physician, Doctoral supervisor, General Hospital of Tianjin Medical University, Tianjin 300052, China
  • About author:Wang Hao, Studying for doctorate, Attending physician, Tianjin Medical University, Tianjin 300070, China; Affiliated Hospital of the Chinese People’s Armed Police Force Logistics College, Tianjin 300162, China

Abstract:

BACKGROUND: The distance of spinal cord shifting backward after treatment through cervical posterior approach is affected by various factors. In fact, it is a morphological change after spinal cord is affected by external force.
OBJECTIVE: To analyze the influential factors for spinal cord shifting backward after posterior cervical decompression for cervical spondylotic myelopathy.
METHODS: Case data of 70 patients with multi-segmental cervical spondylotic myelopathy undergoing posterior cervical decompression were retrospectively analyzed. According to the different distances of spinal cord shifting backward after treatment, they were divided into three groups: < 3 mm group, 3–5 mm group, and > 5 mm group. In accordance with Japanese Orthopaedic Association Scores, the degree of cervical curvature and axial symptom index were compared.
RESULTS AND CONCLUSION: No significant difference in the recovery rate of Japanese Orthopaedic Association Scores was detected among the three groups. No significant difference in cervical curvature was visible among the three groups before and after treatment. The proportion of axial symptom was significantly higher in the patients of > 5 mm group than the other two groups after treatment (P < 0.05). These results suggested that the distance of spinal cord shifting backward was associated with axial symptom after treatment in patients with cervical spondylotic myelopathy after posterior cervical decompression.


中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程


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Key words: cervical spondylosis, spinal cord, decompression, surgical

CLC Number: