摘要
目的探讨单开门后路减压并突出髓核摘除治疗颈椎管狭窄并颈椎间盘突出症的疗效。方法1999年8月至2008年8月，采用后路单开门减压并突出髓核摘除治疗19例颈椎管狭窄并颈椎间盘突出症患者，18例获得平均46个月（3—108个月）的随访，观察比较手术前后神经功能（JOA评分）的变化情况。结果18例患者术后JOA评分（14．22±1．86）分，与术前（6．72±2．42）分比较差异有统计学意义（P〈0．01），术后神经功能平均改善77％。结论后路单开门减压并突出髓核摘除治疗颈椎管狭窄并颈椎间盘突出症安全可靠。
Objective To study the outcome of laminoplasty with posterior hemiotomy for treating myelopathy caused by cervical stenosis combined with cervical disc herniation. Method Eighteen patients underwent this procedure were reviewed. The average follow - up period was 46 months. Neurologic function were evaluated with the Japanese Orthopaedic Association （JOA） Scoring System. Preoperative and postoperative neurologic function （JOA） were compared. Results Postoperative JOA score （ 14. 22 ± 1.86 ） was significantly higher than preoperative score （ 6. 72 ± 2.42 ） （ P 〈 0. 01 ） . The mean JOA score improvement was 77%. Conclusions This technique is safe and effective for treating myelopathy caused by cervical disc herniation combined with cervical stenosis.
出处
《中华神经外科杂志》
CSCD
北大核心
2010年第1期59-61,共3页
Chinese Journal of Neurosurgery
关键词
颈椎
椎间盘移位
椎管狭窄
椎间盘切除术
椎板成形术
Cervical vertebrae
Intervertebral disk displacement
Spinal stenosis
Diskectomy
Laminoplasty
