摘要
目的:探讨高龄(60岁以上)颈椎管狭窄症患者的手术治疗方案。方法:回顾性分析10年来我科收治的45例高龄颈椎管狭窄症的患者,根据不同病情,分别采用了颈前路骨化后纵韧带切除减压+钢板内固定+植骨术,双开门+中央植骨术,后路全椎板切除+侧块钢板内固定术。按JOA标准评定疗效。结果:所有病例均获随访6～24个月,平均16.4个月。术前JOA评分平均为(7.6±2.0)分,术后1年JOA评分平均为(14.3±1.9)分,有显著性差异(P<0.01)。改善率:优32例,良13例,优良率为91.1%。植骨全部骨性融合。结论:高龄颈椎管狭窄症的手术治疗,只要方法得当,减压充分,固定牢固,有效的植骨融合,可获得较好的手术效果。
Objective： To discuss the treatment of the elderly over the age of 60 suffering from cervical spinal stenosis. Mothods： A total of 45 elderly cases of cervical canal stenosis over the past 10 years, according to different situations, respectively accepted different surgeries including the anterior resection ossification of the posterior longitudinal ligament decompression combining with plate fixation with bone grafting, double-door and the central bone graft, whole laminectomy combining lateral mass plate fixation. Resulta： All patients were followed up 6 to 24 months, averagely 16.4 months. Preoperative JOA score was 7.6±2.0 points averagely, and postoperative JOA score 14.3±1.9 points averagely. There was significant difference between them （P〈0.01）. The clinical effect of operation was excellent. Bone graft integration appeared in all cases. Conclusions： For elderly cervical spinal stenosis patients, it is possible to get reliable operation result adopting appropriate method, complete decompression, firm fixation and effective fusion.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2008年第5期571-573,共3页
Chinese Journal of Clinical Anatomy
基金
深圳市科技基金(20040502)
关键词
老年人
颈椎管狭窄症
手术
elderly patient
cervical spinal stenosis
surgery
