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[Objective] To investigate the etiology of cervical vertigo, pathogenesis, and anterior cervical reconstruction of the stability of the surgical treatment of cervical vertigo efficacy and mechanism of action, provide a valuable reference for the diagnosis and treatment of cervical vertigo. [Methods] The subjects were treated from January 2007 to December 2009, 36 cases with cervical vertigo cervical spondylosis surgical cases were followed up bone Fujian Provincial Hospital by telephone, outpatient appointments, and review of clinical data and access to imaging data. All patients had vertigo, drowsy head and other symptoms, accompanied by neck and shoulder pain, headaches, numbness in the hand, limb weakness, nausea and want to vomit, tinnitus, blurred vision, dry eyes and other symptoms, all patients admitted to hospital through medicine, ENT and so exclude related diseases, and conservative treatment of more than one year, poor efficacy; underwent lateral cervical spine, double oblique, dynamic bit-slice MRI of the cervical spine; cervical stability criteria to determine cervical instability, all patients with The anterior cervical redevelopment stable surgery, comparative analysis of preoperative and postoperative 1 week, 3 months and the last follow-up imaging data and clinical symptoms to improve the situation, and further through the surgical treatment for patients with cervical vertigo symptoms and functional assessments Law be assessed. 【Results】 All patients were followed up for an average of 13 months (6 to 36 months), the preoperative cervical instability and the prominent disc degeneration occurs mainly in C4, C5 6 Second postoperative imaging data showed that surgery segmental bone fusion, cervical normal physiological curvature well reconstruction. The vertigo symptoms improve after surgery: 15 cases was excellent (41.7%), 17 cases of benign (47.2%), 4 cases (11.1%), good rate of 88.9%, all patients with preoperative symptoms of cervical spondylosis have varying degrees of relief, patients with postoperative cervical vertigo symptoms and function score improved significantly compared with the preoperative, points to rise after surgery from preoperative (12.47 ± 2.65) (24.08 ± 2.23) points, with statistical significance (P lt; 0.05). Surgical treatment of different age groups and course of the disease group no significant difference (P gt; 0.05), can not explain the greater the age, the longer the duration, the worse the surgical treatment. [Conclusion] Anterior cervical reconstruction the stable surgical treatment of cervical vertigo noticeable effect, cervical instability and prominent cervical disc degeneration may be an important factor in the pathogenesis of cervical vertigo, the postoperative vertigo symptoms improve may be removed cause cervical sympathetic nervous excitement pathological factors related to age and disease duration not affect the main factors for surgical treatment.
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