创伤诱发颈椎病初探

Studies on Trauma Precipitated Cervical Spondylosis

颈椎退变后致椎管和神经根通道变形或狭窄,在脊髓适应能力处于极限时,创伤作用即导导致神经损害。本组报告41例,全部应用前路手术减压及植骨融合。作者认为,早期手术、准确的定位、彻底减压系提高治疗效果的关键措施。

Cervical spondylosis may not reveal itself clinically until some sudden trauma acts upon it resulting in symptoms and signs of spinal cord or uerve root injuries, instantaneous and transient in most of the cases. X-ray examinations usually show no fracture or dislocation of cervical spine, but signs of cervical spondylosis as lipping of vertebral bodies or degeneration of intervertebral discs. Fourty-one cases of such trauma precipitated cervical spon：tylosis treated by decompression and cervical fusion with autograftins are here reported. Anterior route of approach was used in all the cases. Follow-up of 38 cases for an average of 23 months （8-64 months） showed great improvement and satisfactory outcome in most patients. Early surgical intervention, accurate localization and thorough decompression are essential for effecting a good surgicalresult. Pathogenesis, prevention and surgical treatment of the disease are discussed.