No abstract available.
Spondylosis*

Humans ; Spondylosis ; diagnosis ; therapy

Of the 68 cervical spondyltic patients showing symptoms of radiculomyelopathy, assessments were made on 29 patients who underwent neural decompressive surgery with cervical laminectomy through posterior approach for the results of surgery. Analyses were also made on the anterior-posterior diameters of cervical canal on the plain film of cervical spine. The mean values of anterior-posterior diameters measured on the levels of cervical C3-7 were 16.5+/-1.83 mm in the normal adult and 7.3+/-1.08 mm in the cervical spondylotic patients with radiculomyelopathy, which is far narrower than that of the normal. In cervical spondylotic patients, the anterior-posterior diameters of directly upper and lower parts of the lesions were 11.9+/-1.20 mm and 12.1+/-1.61 mm respectively, also much narrower mean values than those of the normal control group. The results of the 29 patients who received cervical laminectomy by posterior approach were much improved for 51.7% and improved for 44.8%.
Adult ; Humans ; Laminectomy ; Spine ; Spondylosis*

Cervial spondylosis is one of the most common orthopedic diseases. But in recent years, onset age of cervical spondylosis becomes more and more younger, which not only cause serious physical and psychological pain on the patients, but also cause a series of social problems. The occurrence of youth cervical spondylosis caused by cervical bad learning work posture for a long time, but psychological factors cannot be igored. The disease belongs to the early stage of cervical spondylosis in fact, which results from power imbalance of neck muscle. Clinical symptom is given priority to with neck shoulder pain and discomfort, often show the cervical physiological curvature change on imaging and cervical instability. Prevention and treatment of youth cervical spondylosis should mainly focus on prevention. Comprehensive treatment should be provided as soon as possible after the clinical diagnosis of the disease in order to prevent the illness even worse. Conservative treatment is often applied, and the neck rehabilitation training cannot be ignored at the same time. It's necessary to further study about the pathogenesis of cervical spondylosis, which will help to enhance the understanding of the disease and better to guide the treatment. The review aims to make a conclusion about advancement in cervical spondylosis in youths in aspects of etiology, pathogenesis, clinical characteristics and treatment.
Humans ; Spondylosis ; diagnosis ; etiology ; therapy

The purpose of this study was to evaluate the role of anterior cervical plate after discectomy and autologous iliac bone graft in the treatment of cervical spondylosis. One hundred and seven cervical spondylotic patients from Jan. 1995 to Mar. 1998 were separated into two groups: Group 1. consisted of 58 patients treated with anterior discectomy, bone fusion, and anterior cervical plate fixations(54 cases of Caspar nonlocking plate and 4 cases of Orion locking plate system), Group 2. consisted of 49 patients treated with anterior discectomy and bone fusion. The mean follow-up duration was 26.5 months(from 6 to 45 months). The overall fusion rate did not showed any difference between the two groups, but in multi-level patients, graft materials related complications(extrusion or collapse of graft) were significantly high in group 2.(p<0.01). Group 1. patients ambulated on POD 1 with Philadelphia collar. The average admission period was 8.4 days following operation. Group 2. patients ambulated on POD 5-7 with Philadelphia collar. The average admission period was 11.9 days after surgery. In conclusion, bony fusion was successfully achieved in both groups and graft materials related complication rate showed no difference in the single level, but was significantly low in group 1 in the multilevel.
Diskectomy* ; Follow-Up Studies ; Humans ; Spondylosis* ; Transplants

OBJECTIVE: The aim of this study is to evaluate the efficacy of anterior cervical plating systems, such as ORION? plate(locked plate), PCB plate-cage, TOP plate(unlocked plate). METHODS: This study was performed in 97 degenerative cervical spondylotic patients who adimitted to the hospital from January 1996 to March 1999. The average follow-up period was 13 months. RESULTS: One-level anterior plating appeared to have better surgical results(p<0.05) and a lower complication rate(p<0.001) than multi-level plating. And a group of patients with radiculopathy appeared to have better surgical results than that of patients with myelopathy(p<0.001). Unlocked TOP? plate system appeared to have higher metallic failure rate(p<0.001) and worse results(p<0.05) than the other plating systems. The outcome based on Odom's criterion was excellent or good in 95.8% of the patients. CONCLUSION: The one-level anterior plating of cervical anterior fusion in degenerative cervical spondylotic patients appears to have better result and no complication than multi-level plating. Also, locked plating system appears to have better result and no metallic failure than unlocked plating system.
Follow-Up Studies ; Humans ; Radiculopathy ; Spondylosis*

The anterior interbody fusion for cervical spine disease may not provide adequate immediate stabilization, but anterior cervical spine plating has overcome this main disadvantage. Between August 1991 and August 1992, twenty patients with a variety of cervical spine abnormalities were treated by anterior cervical spine fusion with the Caspar plate system. Fourteen patients had traumatic fracture and/or dislocation, three had infection(including two tuberculous spondylitis), two had degenerative spondylosis, and on had metastatic tumor. Single level fusion was accomplished in six patients, two-level fusion in eleven patients, and three-level fusion in three patients. Among seventeen patients with an incomplete transverse lesion or neck pain, all patients showed some recovery at discharge except two patients with Frankel grade D. Complications included screw loosening(one patient), dysphagia(one patient, which subsided after removal of the plate), and transient neurological worsening(one patient). All patients had good bony fusion except one which had screw loosening. Careful attention to surgical technique is needed to assure good results.
Dislocations ; Humans ; Neck Pain ; Spine* ; Spondylosis

The Brown-Sequard syndrome is commonly related with a traumatic injury to the spinal cord. Degenerative spine disease is not often reported as the cause of the Brown-Sequard syndrome, and most reports document cervical spondylosis. There are few citation, describing herniated cervical disc as the cause of a Brown-Sequard syndrome. We report a rare case of Brown-Sequard syndrome produced by herniated cervical disc.
Brown-Sequard Syndrome* ; Spinal Cord ; Spine ; Spondylosis

The Brown-Sequard syndrome is commonly related with a traumatic injury to the spinal cord. Degenerative spine disease is not often reported as the cause of the Brown-Sequard syndrome, and most reports document cervical spondylosis. There are few citation, describing herniated cervical disc as the cause of a Brown-Sequard syndrome. We report a rare case of Brown-Sequard syndrome produced by herniated cervical disc.
Brown-Sequard Syndrome* ; Spinal Cord ; Spine ; Spondylosis

Humans ; Manipulation, Spinal ; methods ; Spondylosis ; surgery ; therapy