摘要
目的评价前后路联合颈椎管扩大成形术治疗脊髓型颈椎病的临床效果。方法回顾性分析2001～2005年间应用该术式治疗的48例脊髓型颈椎病患者。术后随访观察植骨融合率,椎间高度维持情况及其并发症。术前和术后通过神经功能JOA评分,颈部轴性症状和颈椎动态侧位片,颈椎MRI进行比较临床疗效。结果全部病例均获得随访,平均随访时间28个月。全部患者随访3月,6月,12月,24月JOA评分平均优良率分别为:75.0%,81.3%,85.4%,89.6%。结论前后入路治疗严重脊髓型颈椎病能彻底减压及提高植骨融合率,并有效的维持椎间高度,避免了因骨的再吸收造成椎间塌陷引起的继发神经功能损害;只要严格的掌握手术的适应证,遵循手术的操作原则,绝大多数的手术并发症均可避免发生。因此,该方法在治疗严重脊髓型颈椎病的一种较理想的治疗方法。
Objective To evaluate the clinical results of cervical vertebral plasty by combination of anterior and posterior opproach in the treatment of cervical spondylosis myelopathy.Methods From March 2001 to February 2005,48 cases with cervical spondylosis myelopathy received this method were analyzed retrospectively.Neural function（JOA Scoring System）,axial cervical symptoms,MRI and dynamic lateral x-ray of cervical vertebrae were evaluated.Results All the 48 cases had been followed-up for an average of 28 months.The excellent and good rate when followed-up for 3,6,12,and 24 months were in 75.0%,81.3%,85.4%,and 89.6%,respectively.Conclusion The methods of expanded cervical vertebral plasty by combination of anterior and posterior approach in the treatment of cervical spondylosis myelopathy is not only decompression thoroughly and keep the stability of cervical vertebrae,but also improve the rate of interbody fusion rate of bone graft and maintain the intervertebral highness.Therefore,this procedure is a more ideal therapeuticmethod for the treatment of cervical spondylosis myelopathy.
出处
《岭南现代临床外科》
2010年第1期55-57,共3页
Lingnan Modern Clinics in Surgery
关键词
脊髓型颈椎病
颈椎
椎管成形术
减压
Cervical spondylosis myelopathy
Cervical vertebrae
Vertebral plasty
