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Treatment of asymptomatic spondylotic cervical cord compression combined with symptomatic cervical radiculopathy
Pages: 20-23
Year: Issue:  1
Journal: Journal of Spinal Surgery

Keyword:  Cervical vertebraSpinal cord compressionRadiculopathyIntervertebral disc degenerationClinical protocols;
Abstract: Objective To investigate therapeutic methods of asymptomatic spondylotic cervical cord compression ( A-SCCC) combined with symptomatic cervical radiculopathy.Methods From June 2009 to June 2012,34 patients with A-SCCC combined with symptomatic cervical radiculopathy were included in this retrospective analysis. All the cases underwent anterior-posterior, lateral, excessive flexion and extension cervical spine X-ray and MRI.Age, gender, duration of disease and the Pavlov ratio were also collected.Conservative treatment to all patients accepted after admission system, the patients were underwent surgical operation without neural function recovery after normal conservative treatment.Before treat-ment and at different time points after treatment, the Japanese Orthopaedic Association (JOA) scores were calculated to evalu-ate the clinical effect of treatment.Results All of 34 patients were followed up for an average of 4 months, of which 23 patients got different degrees of neural function improvements after conservative treatment, and 11 patients had no obvious improvement.Eight cases without obvious improvement underwent operation, and other 3 patients refused operation treatment of who 2 cases were relieved after continued conservative treatment, and the remaining 1 case developed with clinical manifes-tations of spinal cord disease.The JOA scores in both groups were significantly improved after treatment (P<0.01).Conclu-sion Majority of patients with A-SCCC combined with symptomatic cervical can alleviate the condition after conservative treatment, some still need operation.A-SCCC combined with symptomatic cervical radiculopathy or spinal cord high intensity signal spinal cord do not need preventive operation, but still have to observe the change of the disease closely.
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