PDF(Pubmed)
Abstract：
We report the case of a 78-year-old woman who presented with a 14-month history of progressive bilateral knee spasms and pain and reduced quality of life. The patient had undergone bilateral total knee arthroplasty after a diagnosis of osteoarthritis and failure of conservative treatment. Symptoms reappeared 8 months postoperatively, and the patient was diagnosed with cervical spondylotic myelopathy. Consequently, she was successfully treated with chiropractic rehabilitation which involved scraping therapy, spinal manipulation, and intermittent motorized traction to relieve cervical nerve pressure. Thus, cervical spondylotic myelopathy should be considered in the differential diagnosis of cases of persistent knee pain.
摘要：
我们报告了一名78岁的女性，她有14个月的进行性双侧膝盖痉挛和疼痛史，生活质量下降。该患者在诊断为骨关节炎和保守治疗失败后接受了双侧全膝关节置换术。术后8个月症状再次出现,患者被诊断为脊髓型颈椎病。因此,她成功接受了整脊康复治疗，其中包括刮擦疗法，脊柱操纵,间歇电动牵引减轻颈神经压力。因此，在对持续性膝关节疼痛的鉴别诊断中，应考虑脊髓型颈椎病。
