Surgical treatment of vertigo secondary to cervical spinal instability
- VernacularTitle:伴有眩晕的颈椎不稳症的外科治疗
- Author:
Junwei LI
;
Yisheng WANG
;
Lei XIA
- Publication Type:Journal Article
- Keywords:
cervical spine;
vertigo;
instability;
operation
- From:
Orthopedic Journal of China
2006;0(17):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To investigate the medium-term outcomes of surgical treatment of vertigo secondary to cervical spinal instability.[Method]From Oct.2000 to Jun.2006,28 patients underwent operation for vertigo secondary to cervical spinal instability and were followed prospectively.There were 21 females and 7 males with an average age of 42.5 years(rang,30 to 56 years).The involved levels included C3、4 in 12 cases,C4、5 in 8,combined C3、4 and C4、5 in 4,and combined C4、5 and C5、6 in 3.Surgical methods included anterior discectomy and fusion with interbody bone grafting and internal fixation with plate or fusion with cages.JOA score system was used for the evaluation of neurological function.[Result]All the patients were followed for 43 months(30 to 60 months).Satisfactory results were achieved in most of the patiens 3 months after surgery.At latest follow-up,complete relief of the preoperative complaints was obtained in 22 patients with incomplete relief in 4 and no obvious improvement in 2.Neurological function was improved from preoperative JOA 10.10 to postoperative JOA 14.90 with satistically significance.Adjacent unstable segments proximal to fuxion level were noted in three cases but with no recurrence of the preoperative symptoms.[Conclusion]For properly selected patients with vertigo secondary to unstable cervical spine,satisfactory medium-term clinical outcomes can be achieved appropriate surgical methods.
