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Reconstruction of nerve root sheaths for sacral extradural spinal meningeal cysts with spinal nerve root fibers

Science China(Life Sciences) 2013年第11期56卷 1007-1013页

作者： SUN JianJun WANG ZhenYu LI ZhenDong WU HaiBo yen ruyu ZHENG Mei CHANG Qing LIU Isabelle Yisha Department of Neurosurgery Peking University Third Hospital Peking University Department of Neuroradiology Peking University Third Hospital Department of General Surgery Peking University Third Hospital Department of Neurology Peking University Third Hospital Department of Pathology Peking University Third Hospital Department of Head & Neck Surgery UCLA Medical CenterLos Angeles CA 90095 USA

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 *** 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 *** Improved Japanese Orthopedic Association(IJOA)scoring system was used to evaluate preoperative and postoperative neurological ***-eight patients were included in this study,with a mean age of 41.4±15.57 *** 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 *** 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).

关键词： sacral canal spinal meningeal cysts reconstructed nerve root sheath spinal nerve root fibers clinical outcomes

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