Clinical analysis of early diagnosis of lumbar spondylotic myelopathy / 中国组织工程研究

ABSTRACT

Objective To probe into the feasibility of early diagnosis of lumbar spondylotic myelopathy(LSM)prospectively and to screen the premorbid signs of LSM clinically, radiologically. Method Thirty items related to the occurring of LSM were chosen as common characteristics of LSM and considered as the criteria of prospective study. 236 patients who met the criteria were studied. All patients were divided into three groups and followed up and observde for 2～10 years (mean 4. 3years), every item of each group was compared and analyzed. Result Sixty - eight patients showed LSM during investigation. Sixteen items of the criteria were related to the occurring of LSM. The significant items include lower limb pain and abnormal sensation limb numbness, lumbar canal stenosis, lower lumbar instability, lumbar intervertebral disk herniation, and delay of central motor conduct time. Conclusion LSM can be early diagnosed. The patients who meet the established criteria should be followed up and observed closely.