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Indication for the operative methods in surgical treatment of cervical spondylotic myelopathy. Shape of the spinal cord in the CT-myelography

Abstract

Indication for the operative methods for cervical spondylotic myelopathy was examined in 16 patients undergoing CT-myelography before and after operation. There was a highly significant correlation between the anteroposterior (A-P) diameter of the spinal cord and clinical symptoms. Patients with shorter A-P diameter of the spinal cord tended to have severer preoperative clinical symptoms. Clinical symptoms improved as the post operative A-P diameter of the spinal cord increased. Fixation with decompression of the anterior spinal cord should be indicated when constriction of 5 mm or less of the spinal cord is seen segmentally at the level of the intervertebral disc. Dilation of the spinal cavity should be indicated when the constriction of the spinal cord is 5 mm or less at all levels of the cervical spinal cord. In performing fixation with anterior decompression, 15 mm is considered to be the most suitable width for complete and safe decompression of the flattened spinal cord with a wide transverse diameter.
Authors:
Kobayashi, Akira; Inoue, Shunichi; Watabe, Tsuneo; Nagase, Joji; Harada, Yoshitada [1] 
  1. Chiba Univ. (Japan). School of Medicine
Publication Date:
Apr 01, 1984
Product Type:
Journal Article
Reference Number:
AIX-16-024076; EDB-85-097851
Resource Relation:
Journal Name: Rinsho Seikei Geka; (Japan); Journal Volume: 19:4
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; SPINAL CORD; CAT SCANNING; DIAGNOSIS; MYELITIS; PATIENTS; SURGERY; SYMPTOMS; CENTRAL NERVOUS SYSTEM; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; DISEASES; MEDICINE; NERVOUS SYSTEM; NERVOUS SYSTEM DISEASES; TOMOGRAPHY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
5664564
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: RISEB
Submitting Site:
HEDB
Size:
Pages: 457-464
Announcement Date:
Mar 01, 1985

Citation Formats

Kobayashi, Akira, Inoue, Shunichi, Watabe, Tsuneo, Nagase, Joji, and Harada, Yoshitada. Indication for the operative methods in surgical treatment of cervical spondylotic myelopathy. Shape of the spinal cord in the CT-myelography. Japan: N. p., 1984. Web.
Kobayashi, Akira, Inoue, Shunichi, Watabe, Tsuneo, Nagase, Joji, & Harada, Yoshitada. Indication for the operative methods in surgical treatment of cervical spondylotic myelopathy. Shape of the spinal cord in the CT-myelography. Japan.
Kobayashi, Akira, Inoue, Shunichi, Watabe, Tsuneo, Nagase, Joji, and Harada, Yoshitada. 1984. "Indication for the operative methods in surgical treatment of cervical spondylotic myelopathy. Shape of the spinal cord in the CT-myelography." Japan.
@misc{etde_5664564,
title = {Indication for the operative methods in surgical treatment of cervical spondylotic myelopathy. Shape of the spinal cord in the CT-myelography}
author = {Kobayashi, Akira, Inoue, Shunichi, Watabe, Tsuneo, Nagase, Joji, and Harada, Yoshitada}
abstractNote = {Indication for the operative methods for cervical spondylotic myelopathy was examined in 16 patients undergoing CT-myelography before and after operation. There was a highly significant correlation between the anteroposterior (A-P) diameter of the spinal cord and clinical symptoms. Patients with shorter A-P diameter of the spinal cord tended to have severer preoperative clinical symptoms. Clinical symptoms improved as the post operative A-P diameter of the spinal cord increased. Fixation with decompression of the anterior spinal cord should be indicated when constriction of 5 mm or less of the spinal cord is seen segmentally at the level of the intervertebral disc. Dilation of the spinal cavity should be indicated when the constriction of the spinal cord is 5 mm or less at all levels of the cervical spinal cord. In performing fixation with anterior decompression, 15 mm is considered to be the most suitable width for complete and safe decompression of the flattened spinal cord with a wide transverse diameter.}
journal = []
volume = {19:4}
journal type = {AC}
place = {Japan}
year = {1984}
month = {Apr}
}