摘要
目的：对颈椎后纵韧带骨化症（ＯＰＬＬ）的前路减压融合手术效果进行分析。方法：对２８例颈椎ＯＰＬＬ患者进行了颈椎前路手术治疗，其中切除１个椎节８例（Ⅰ组），２个椎节１１例（Ⅱ组），３个椎节９例（Ⅲ组），术后采用日本矫形外科学会（ＪＯＡ）评定标准进行评判。结果：平均随访时间２．３年，平均改善率７５．８％。患病时间、术前脊髓损伤及症状的轻重均影响到神经功能恢复。
Objective: To analyze followup results on anterior decompression and fusion for cervical myeloradiculopathy secondary to ossification of the posterior ligament. Methods: Twentyeight patients received anterior surgery from 1992. Eight patients (group Ⅰ) underwent one vertebra subtotal spondylectomy with fusion, 11 (group Ⅱ) two vertebrae subtotal spondylectomy, and 9 (group Ⅲ) three vertebrae subtotal spondylectomy. Assessment after surgery was based on the recovery rate using the scoring system of the Japanese Orthopaedic Association (JOA). Results: The average followup was for 2.3 year. The overall mean improvement in JOA score was 75.8%. Duration of disease, previous injury and advanced neurological symptoms all affected neurological recovery. Conclusion: Spondylectomy of vertebrae, with fusion, is recommended for ossification of the posterior longitudinal ligament within three cervical vertebrae.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1997年第6期510-512,共3页
Academic Journal of Second Military Medical University
关键词
前路手术
后纵韧带
骨化
外科手术
颈椎病
anterior surgery
cervical spinal cord diseases
posterior longitudinal ligament
ossification, pathologic
