摘要
目的探讨老年人脊髓型颈椎病的临床特点,以及年龄对脊髓型颈椎病的预后影响.方法回顾性对比分析564例脊髓型颈椎病,其中老年患者191例,占33.9%,非老年患者373例.术后随访2～10年,平均5年3个月.结果老年组中发育性椎管狭窄(x2= 4.78,P＜0.05)、合并退变性椎管狭窄高于非老年组(x2= 49.07,P＜0.01),有效率(x2=5.03,P＜0.05)、优良率(x2= 6.5,P＜0.05)低于非老年组.结论老年人脊髓型颈椎病预后差.
Objective To study the clinical characteristics and determine the effect of the cervical spondylotic myelopathy (CSM) in the old patients. Methods Five hundred and sixty-four patients with CSM were retrospectively analyzed. There were 191 patients older than 60 years, accounting for 33.9 % , and 373 patients younger than 59 years. Five hundred and sixty-four patients were followed - up for 2~10 years after operations (average of 5 years and 3 months). Results In the older group, The rate of the developmental spinal stenosis and degenerative spinal stenosis in the old patients were higher than that in the younger group (x2 = 4.78, P<0.05; x2 = 49.07, P<0.01), The hold rate (x2 = 5.03, P<0.05), and superior rate (x2 = 6.5, P<0.05) were lower than that in the younger group. Conclusion Poorer prognosis is associated with the old patients with CSM.
出处
《骨与关节损伤杂志》
2003年第10期649-651,共3页
The Journal of Bone and Joint Injury
