摘要
目的 探讨老年颈椎管狭窄并发脊髓病的外科治疗结果及围手术期并存病的处理原则。方法 分析 1 5例病人临床表现、颈椎 X线动力性拍片及 MRI病理改变、围手术期并存病控制方法及手术疗效。结果 6例椎板成形和 8例推板减压者均获得优良疗效 ,并存病控制得当 ,无并发症发生。结论 老年颈椎管狭窄并发脊髓病是由退变、骨质疏松和颈椎不稳等多因素所致。年龄不是禁忌手术治疗的金标准。控制好围手术期并存病 ,颈椎后路手术疗效是令人满意的。由于老年骨质疏松 。
? Objective To explore the effect of surgical therapy of senile cervical spinal stenosis with myelopathy and the treatment principle for perioperative accompanied disease.Methods The clinical manifestation cervical spine dynamic radiography,MRI appearance perioperative accmpanied disease's treatment and surgical therapy of 15 cases of patients wre analyzed.Results 6 cases with laminoplasty and 8 cases with lamiectomy decompression obtained exellent result,accompanied disease were controlled exactly,no complication arised.Conclusions Senile cervical spinal stenosis with myelopathy was caused by degeneration,osteoporosis and cervical spine instability ect.Age was not the gold standard of contra indication of surgical therapy.Perioperative accompanied disease was controlled,the therapeutie effect of cerviacl posterior approach operation was satisfied.Because of senile osteoporosis,laminoplasty was liable to perform.
出处
《中国老年学杂志》
CAS
CSCD
北大核心
2001年第4期277-278,共2页
Chinese Journal of Gerontology
关键词
老年人
颈椎管狭窄
脊髓病
骨质疏松
围手术期并存病
外科治疗
Senile Cervical spinal stenosis Myelopathy Senile osteoporosis Perioperative accompanied disease
