Diagnosis and treatment of coexistence of cervical and lumbar spinal stenosis
- VernacularTitle:颈椎管和腰椎管狭窄同时存在的诊断及手术治疗
- Author:
Cuoqiang SUN
;
Qingsheng GUO
;
Feng WU
- Publication Type:Journal Article
- Keywords:
Cervical vertebrae;
Lumbar vertebrae;
Spinal stenosis
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(17):20-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical character and treatment method of the coexistence of cervical and lumbar spinal stenosis.Method Twenty-seven cases with coexistence of cervical and lum bar spinal stenosis,9 cases with single cervical operation,7 cases with single lumbar operation,11 combined cervical and lumbar operation.Results Twenty-two cases were followed-up,average 49 months,all eases were recorded with JOA score.JOA score was(8.6±0.2)scores preoperafion,(11.7±0.3)scores 2 weeks postoperation,(13.1±0.2)scores 3 months postoperation,(13.5±0.2)scores 6 months postoperation,(13.9±0.3)scores 12 months postoperation.Relief rate was 79.2%,satisfactory rate was 93.8%.Conclusions The patient with multi-segment spinal stenosis should be treated individually,to certain responsible focus.If no responsible focus,it is better to treat with cervical spinal operation first.