未经证实:由于症状重叠,合并多发性硬化(MS)和退行性脊髓型颈椎病(DCM)患者的手术治疗有明显延迟.这篇综述的目的是评估手术干预是否对同时出现的患者有益。
UNASSIGNED:手术对并发MS和DCM有益吗?
UNASSIGNED:在Pubmed和Medline数据库上进行了无日期限制的文献检索。关键词检索:退行性脊髓型颈椎病,多发性硬化症,治疗,手术,生活质量。随机对照试验,prospective,回顾性,和病例系列报告手术时机,术后结果,如脊髓病变症状的改善,生活质量,所有严重并发症均包括在内.
UNASSIGNED:文献检索在所有数据库中总共产生了8项研究。选择了七篇文章进行全文审查,所有这些都被分段纳入本次审查。七项研究评估了160名并发多发性硬化症和退行性颈椎病的参与者。早期的研究不鼓励对这部分患者进行手术,大多数研究发现,对伴有多发性硬化症和退行性脊髓压迫的患者进行早期手术是值得的,如果患者有神经根病。MS患者的生活质量没有MS患者的改善。
未经证实:患有神经根病的患者,颈部疼痛和脊髓压迫最有可能受益于早期手术。除非存在其他医疗/麻醉禁忌症,否则无需延迟提供手术。
UNASSIGNED: Due to an overlap in symptoms, there is significant delay in surgical treatment of patients that have concomitant multiple sclerosis (MS) and degenerative cervical Myelopathy (DCM). The purpose of this review is to evaluate if surgical intervention is beneficial to patients that have concurrent presentations.
UNASSIGNED: Is surgery beneficial in concurrent MS and DCM?
UNASSIGNED: A literature search with no date restrictions was conducted on Pubmed and Medline databases. Keywords searched: Degenerative Cervical Myelopathy, Multiple sclerosis, Treatment, Surgery, Quality of Life. Randomised controlled trials, prospective, retrospective, and case series reporting timing of surgery, post-operative outcomes such as improvement in myelopathic symptoms, quality of life, and any serious complications were included.
UNASSIGNED: The literature search yielded a total of 8 studies across all databases. Seven articles were selected for full text review, and all of them were sectioned for inclusion in this review. Seven studies evaluated 160 participants with concurrent multiple sclerosis and degenerative cervical myelopathy. Earlier studies had discouraged performing surgery in this subset of patients, the majority of studies found it worthwhile to perform early surgery for patients with concomitant multiple sclerosis and degenerative cord compression, if the patients had radiculopathy. Quality of life for MS patients did not improve as much as it did for patients that did not have MS.
UNASSIGNED: Patients with radiculopathy, neck pain and cord compression are most likely to benefit from early surgery. There is no need for delaying to offer surgery unless other medical/anaesthetic contraindications exist.