期刊
SCIENCE CHINA-LIFE SCIENCES
卷 56, 期 11, 页码 1007-1013出版社
SCIENCE PRESS
DOI: 10.1007/s11427-013-4536-7
关键词
sacral canal; spinal meningeal cysts; reconstructed nerve root sheath; spinal nerve root fibers; clinical outcomes
类别
资金
- Science Foundation for the Excellent Youth Scholars of Ministry of Education of China [200800011035]
- National Natural Science Foundation of China [81200969/H0912]
This study analyzed the clinical characteristics and outcomes of sacral extradural spinal meningeal cysts with spinal nerve root fibers treated by reconstruction of the nerve root sheaths. The relationships between the cysts and spinal nerve root fibers were examined microscopically, the cysts were partially excised, and the defects were oversewn to reconstruct the nerve root sheaths. The Improved Japanese Orthopedic Association (IJOA) scoring system was used to evaluate preoperative and postoperative neurological function. Thirty-eight patients were included in this study, with a mean age of 41.4 +/- 15.57 years. The mean IJOA score was 18.8 +/- 1.32 preoperatively and 19.6 +/- 0.65 postoperatively, which was a significant difference (t=-3.77, P=0.001). These results indicate a significant improvement in neurological function after surgery. The most significant improvement in neurological function was sensation (z=-2.86, P=0.004), followed by bowel/bladder function (z=-2.31, P=0.02).
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