脊髓型颈椎病（Cervical spondylotic myelopathy）.docVIP

脊髓型颈椎病（Cervical spondylotic myelopathy） Cervical spondylotic myelopathy The Welcome bone surgery network this is a free website welcome Cervical spondylotic myelopathy Overview article selection Cervical spondylotic myelopathy (cervical spondyloticmyelopathy CSM) is one of the most common diseases of cervical degeneration, intervertebral disc degeneration in the pathological basis, through a series of pathophysiological changes caused by formation of adjacent vertebral osteophyma, pressure on the spinal cord and its appendages, blood vessels, leading to different degrees of spinal cord dysfunction the health of the elderly, is one of the most common serious harm in cervical disease. Since the middle of 70s, China has made a long clinical practice and theoretical research on the diagnosis, treatment and prevention of the disease, and has made great progress. Among them, the first Shanghai Changzheng Hospital anterior trephine decompression technology has matured, and extended to the whole country. Since the MRI application of new technology for more than 10 years, the more profound understanding, for the treatment of choice to provide a more intuitive imaging basis; the disease caused by bony or fibrous pressure and great progress of spinal cord compression state research, provide more clear indications for surgical treatment, thereby greatly improving the effect of treatment. Nowadays, more and more spine surgeons have mastered the techniques of diagnosis and treatment of this disease. Anterior cervical decompression in the treatment of CSM reported each year up to tens to hundreds of hospitals have a lot of. However, in view of the complicated pathogenesis and pathological process of CSM and its prognosis, many clinical phenomena are still difficult to explain. Therefore, the study of this disease is still necessary. The present situation and Prospect of CSM research are summarized as follows. 1 etiology and pathogenesis The study of degeneration of the 1.1 cervica