摘要
目的分析脊髓型颈椎病(cervical spondylotic myelopathy,CSM)前路减压手术中后纵韧带切除与保留的预后及疗效。方法65例CSM患者行颈前路减压其中后纵韧带切除者31例,未切除者34例。同时行前路钢板内固定。结果65例患者随访12～56月,平均28.8月。后纵韧带切除组神经功能恢复率76.2%±21.6%,显著高于后纵韧带保留组63.7%±21.3%(P<0.05)。结论CSM行颈椎间盘摘除髂骨植骨前路钢板内固定,术中同时切除后纵韧带优于保留后纵韧带的临床疗效。
Objective To analyse and evaluate the different clinical effects between posterior longitudinal ligament （PLL） resection and PLL reserve on anterior cervical decompression in the treatment of cervical spondylotic myelopathy （CSM）. Methods We reviewed the clinical data of 65 cases which had been carried out anterior cervical decompression and internal plate fixation in the treatment of CSM in Xiangya Hospital（PLL resection group31 cases and PLL reserve group 34 cases）. Results All the 65 cases were followed up from 12 months to 56 months, the mean follow up were 28.8 months. The spinal cord neurologic function recovery rate of posterior longitudinal ligament resection group were 76.2%±21.6%. It was better than posterior longitudinal ligament reserve group 63.7%±21.3%（P〈0.05）,There was significant difference in the comparation. Conclusion In the resection of the PLL,we can obtain better clinical effect in the treatment of CSM on anterior cervical decompression.
出处
《颈腰痛杂志》
2009年第3期203-206,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
脊髓型颈椎病
前路减压
后纵韧带
JOA
cervical spondylotic myelopathy
anterior approach decompression
posterior longitudinal ligament
JOA
