摘要
目的探讨颈前入路手术治疗脊髓型颈椎病的临床疗效。方法选取2009年5月～2011年5月本院骨科收治的脊髓型颈椎病患者90例,采用颈椎前路椎体次全切减压植骨融合内固定术,术后随访6～12个月,比较术前术后JOA评分、颈椎弧度的改善。结果患者术后3、6、12个月JOA评分均较术前提高,与术前比较,差异有统计学意义(P<0.05);术后3个月与术后6、12个月比较差异有统计学意义(P<0.05);术后6个月与12个月比较差异无统计学意义(P>0.05)。改善率术后3、6、12个月差异无统计学意义(P>0.05)。颈椎D值术后与术前比较差异有统计学意义(P<0.05),术后即刻与术后6、12个月比较差异无统计学意义(P>0.05)。结论颈椎前路椎体次全切减压植骨融合内固定术治疗脊髓型颈椎病能较好地恢复和维持颈椎生理弧度,疗效满意,值得临床推广应用。
Objective To investigate the clinical efficacy of anterior approach in the treatment of cervical spondylotic myelopathy （CSM）. Methods Ninety cases of CSM patients were selected from May 2009 to May 2011, all were given ante- riot cervical vertebrae subtotal decompression and fusion with internal fixation, and were followed up 6-12 months, preop- erative and postoperative JOA score, cervical curvature of the improvement were compared. Results The JOA score of post- operative 3, 6 and 12 months increased more compared with preoperative, the difference was statistically significant （P 〈 0.05）; There was statistically significant difference between postoperative 3 months and 6, 12 months （P 〈 0,05）; but the difference of 6 months and 12 months was not significant （P 〉 0.05）. The improvement rate between postoperative 3, 6, 12 months had no statistically significant difference （P 〉 0.05）. The difference of cervical D value between postoperation and preoperation was statistically significant （P 〈 0.05）, the difference between immediate postoperative period and postopera- tive 6, 12 months was not statistically significant （P 〉 0.05）. Conclusion The anterior cervical vertebrae subtotal decom- pression and fusion with internal fixation in treatment of cervical spondylotic myelopathy can better restore and maintain the cervical physiological curvature, the efficacy is satisfactory and worthy of clinical application.
出处
《中国当代医药》
2012年第31期182-183,共2页
China Modern Medicine
关键词
颈椎前路椎体次全切减压植骨融合内固定术
脊髓型颈椎病
颈椎弧度
疗效观察
Anterior cervical vertebrae subtotal decompression myelopathy
Cervical curvature
Clinical efficacy observation and fusion with internal fixation
Cervical spondylotic
