摘要
目的比较应用保留部分椎体后方皮质的椎体次全切除术式治疗颈椎病病人与传统椎体次全切除术式的优缺点。方法2004年6月-2010年3月间应用改良的椎体次全切除术式治疗有明显的两个间隙以上的颈椎间盘突出病人43例,男性29例,女性14例,年龄34-76岁,平均54岁,随访时间1-4年,平均2年,依据日本骨科医师协会(JOA)评分分析疗效,通过X片必要时通过二维CT观察有无骨性愈合。结果43例病人JOA评分术前为9±2,术后1周13±2,术后1年为14±2,41例病人症状获得明显改善,1年后的颈椎X片上钛网周围骨痂形成良好,达到骨性愈合。2例病人症状未见好转,其中1例术后出现缺血再灌注损伤,后逐渐恢复至术前,1例病人术中出现脑脊液漏。结论此改良手术具有术中操作简便、减少并发症、有利于骨性愈合和避免钛网或植骨块后移压迫脊髓的优点。属于传统的两种方式的较好组合。
Objective To compare the advantages and disadvantages of vertebral body subtotal resection with some cortex behind it preserved and conventional vertebral body subtotal resection in patients with cervical spondylosis.Methods Forty-three patients with multilevel cervical spondylosis（29 males,14 females） underwent modified vertebral body subtotal resection from 2005.Their average age was 54 years（range 34-76）.The patients were followed up for 1-4 years（mean 2 years）.The outcome of patients after operation was analyzed according to the JOA score.Bone healing was observed by two-dimensional CT and X-ray.Results The JOA score of 43 patients was 9±2 before operation,13±2 and 14±2 1 week and 1 year after operation,respectively.The symptoms were markedly improved in 41 patients with porosis,and no improvement was found in 2 patients（postoperative ischemia reperfusion injury in 1 patient and CSF leakage in 1 patient）.Conclusion The modified vertebral body subtotal resection for multilevel cervical spondylosis is simple procedure,which is a rather good combination of the two traditional procedures and can thus reduce complications and help bone healing and avoid titanium mesh or spinal cord compression after bone block transfer.
出处
《军医进修学院学报》
CAS
2011年第2期136-137,160,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
减压术
外科
颈椎病
椎体成形术
Decompression
Surgical
Cervical Spondylosis
Vertebroplasty
