整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
頸部脊椎骨軟骨症 (脊髄症) の術後遠隔成績に影響を及ぼす因子の検討
術後5年以上
砂金 光蔵服部 奨河合 伸也斎木 勝彦今釜 哲男松岡 彰中田 和男
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1984 年 32 巻 1 号 p. 135-139

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Postoperative long-term follow-up studies were conducted on patients with cervical myelopathy. In this report the authors described the clinical and radiographic observations on 91 cases who were followed for more than 5 years. Results at the time of final follow-up were excellent in 57%, good in 28%, fair in 9%, unchanged in 3%, and worsened in 3%, indicating that satisfactory results were maintained for long period in most cases. Long-term results were influenced by the factors of the age, duration of the history, results at the time of discharge, spinal canal stenosis and operative methods.
Results were deteriorated in 19% of the cases and the deterioration tended to occur nearly 3 to 7 years after surgery. Radiographic examination indicated that nonunion at the level of fusion and spondylotic change at the adjacent levels of fusion appeared in some cases. However, these findings varely influenced the clinical results, except in cases with severe spinal canal stenosis.

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