title: [Spondylogenic cervical myelopathy: conservative and surgical therapy].
abstract: The symptoms and signs of spondylotic cervical myelopathy (SCM) in the elderly are variable, but an ataxic-spastic gait disturbance combined with tingling in the finger tips and clumsy hands are often encountered. SCM is due to degenerative changes of discs and osseous and ligamentous structures with compression of the spinal cord. The symptoms, signs, surgical and conservative treatment, and outcome were retrospectively analyzed in 36 patients. Most of the patients undergoing surgery (n = 22) improved their clinical score and maintained this improvement for the period of observation; the non-operated patients (n = 14) had a very slow progression. Diagnostic difficulties and problems of the surgical and conservative approaches are discussed.
authors.affiliation: Neurologische und Neurochirurgische Klinik, Universitätsspitals Zürich.
authors.forename: A
authors.initials: A
authors.lastname: Keller
authors.forename: K
authors.initials: K
authors.lastname: von Ammon
authors.forename: R
authors.initials: R
authors.lastname: Klaiber
authors.forename: W
authors.initials: W
authors.lastname: Waespe
mesh_terms: D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007796:Laminectomy / Q000379:methods; D017843:Ligamentum Flavum / Q000473:pathology; D008124:Locomotion; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010808:Physical Examination; D012189:Retrospective Studies; D013123:Spinal Fusion / Q000379:methods; D013128:Spinal Osteophytosis / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*
vernacular_title: Die spondylogene zervikale Myelopathie: konservative und operative Therapie.