[Clinical character and treatment of coexistence of cervical spine disease and lumbar spine degenerative disease].

OBJECTIVE

To investigate the clinical character and surgical management in coexistence of cervical and lumbar spine disease.

METHODS

53 cases with coexistence of cervical and lumbar spine disease were analyzed for clinical character and follow-up outcomes. 19 single cervical operation cases, 16 single lumbar operation cases and 7 combined cervical lumbar operation cases, all patients were recorded with JOA score.

RESULTS

The cases with cervical and lumbar intervertebral disc showed at least 2 segments. After 6 months follow-up, 35/44 cases symptom were relieved obviously, of which 24/35 cases were single operation, relief rate is 75.9%, satisfactory rate is 80.0%; of which 11/35 cases were continuous cervical lumbar operation, relief rate is 78.4%, satisfactory rate is 78.5%. 6/44 cases' symptom with only cervical or only lumbar operation were relieved incompletely, 3/44 cases' symptom with second operation relieved incompletely. 5 cases missed diagnosis on the first operation. 29 cases with responsible focus, of which 25 cases were followed up, relieved obviously, relief rate is 76.5%, satisfactory rate is 96.0%.

CONCLUSION

The cases with cervical and lumbar intervertebral disc showed at least 2 segments, the same basis of the spinal canal stenosis and disc herniation is degeneration of spine. certain responsible focus and correct surgical management can get good treatment results.