整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
頚髄症における頚椎持続牽引療法の分析
砂金 光蔵河合 伸也松岡 彰中村 克巳中原 庸夫貴船 雅夫光山 博巳
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1988 年 36 巻 3 号 p. 777-780

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Thirty-one cases of cervical myelopathy treated by skull traction were studied to clarify its clinical effect.
The results were as follows.
1. Clinical effects of skull traction for cervical myelopathy were found in 22 of all 31 cases and the results of that were 7 cases in excellent, 16 cases in improved, 6 cases in unchanged and 2 cases in worsened.
2. In most cases the effects of skull traction appeared in a few days and lasted for 2 to 3 weeks.
3. The most improved symptom was gait disturbance, and urinary dysfunction was scarcely improved.
4. The results of skull traction were not always satisfactory in terms of ADL except for 2 cases of cervical disc herniation, and 26 cases needed surgical treatment eventually.
5. The results of traction were not influenced by age, severity of myelopathy, diameter of spinal canal, range of motion and existence of dynamic canal stenosis except for duration of symptom.
6. Postoperative results were in proportion to effects of skull traction.

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