摘要
目的评价保留脊柱后部结构式颈椎后路双开门椎管扩大成形术的临床意义。方法2003年6月至2006年6月间应用保留脊柱后部结构式颈椎后路双开门椎管扩大成形术治疗26例颈椎病患者,其中男性21例,女性5例,年龄35—72岁,平均56.5岁。术前JOA评分:3—13分,平均8.3分,椎管矢状径为(6.9±2.0)mm(5—11mm)。结果开门减压成形:C3—C722例,C3—C64例,随访时间6—48个月,平均20个月,术后JOA评分12—17分,平均15.2分,优良率为82.3%,椎管矢状径为(12.7±2.1)mm(10—17mm),所有棘突与植骨块愈合。结论保留脊柱后部结构式颈椎后路双开门椎管扩大成形术是安全有效的,对术后保持颈椎后部稳定性,防止术后颈部僵硬、后伸受限、颈椎后凸畸形有重要的意义。
Objective To evaluate the retaining spinal posterior structure to bilateral open-door expansive laminoplasty. Methods From June, 2002 to June, 2006, twenty-six patients （21 males,5femals） aged from 35 to 72 yr. （average 56.5 yr.） were treated with bilateral open-door expansive laminoplasty using the retaining spinal posterior structure. The preoperative JOA scores were 3 to 13 （average：8.3）. The sagittsl diameter of cervical spinal canal was （6.9±2.0）mm （5-11 ram）. All spinous process and bone grafting were inosculated. Results 22 cases C3 to C7 of laminoplasties, 4 eases C3 to C6, The mean follow-up period was 20 months （range： 6-48 months）. The postoperative JOA scores were 12 to 17 （average：15.2）. The sagittal diameter of cervical spinal canal was （12.7±2.1）mm （10-17mm）. Conclusions The retaining spinal posterior structure used in bilateral open-door expansive laminoplasty is safe and efficient.
出处
《海南医学》
CAS
2007年第2期3-4,共2页
Hainan Medical Journal
关键词
保留
脊柱后部结构
双开门
椎管扩大成形术
颈椎病
retain
spinal posterior structure
bilateral open-door
expansive laminoplasty
eervicalspondylosis
