摘要
【目的】总结脊髓型颈椎病的不同手术方法，以提高颈椎病的手术治疗效果。【方法】对我科3年来行颈前路及后路手术的329例脊髓型颈椎病患者进行回顾性分析。颈椎前路减压植骨融合术143例；颈椎前路减压钛网植骨内固定术111例；颈椎后路单开门椎管成形术75例。采用JOA评分，分析患者术后改善率。【结果】颈前路减压植骨融合、颈椎前路减压钛网植骨内固定、颈后路单开门椎管成形术，术后改善率分别为81．4％，83．3%，77．2％。【结论】合理的选择手术方法，可提高脊髓型颈椎病的临床改善率。
[Objective] To study the different surgical procedures for cervical spondylotic myelopathy so as to improve the therapeutic effect of cervical spondylosis. [Methods]A total of 329 cases who received cervical spine operations through anterior or posterior approaches were analyzed retrospectively. Among them, 143 cases underwent anterior cervical fusion, and 111 cases underwent anterior cervical fusion with titanium cage and internal fixation, and 75 cases underwent posterior open-door laminoplasty. The improvement rates were evaluated respectively. [Results] The improvement rates of anterior cervical fusion of bone, anterior cervical fusion of titanium cage and internal fixation and posterior of open-door laminoplasty were 81.4 %, 83.3 % and 77.2 %, respectively. [Conclusion]The reasonable surgical procedures can increase the clinical improvement rate.
出处
《医学临床研究》
CAS
2009年第3期394-396,共3页
Journal of Clinical Research
关键词
颈椎病/外科学
脊髓
cervical spondylosis/SU
spinal cord
