摘要
目的 观察颈椎椎体次全切除植骨融合术治疗脊髓型颈椎病的疗效。方法 对 2 8例经颈前路减压椎体次全切除植骨融合的患者采用JOA(JapaneseOrthopaedicAssociation )评分观察疗效。结果 所有病例获得随访 ,平均随访时间 1年 3个月。优 (恢复率≥ 80 % ) 2 3例 ,占 82 % ;良 (80 % >恢复率≥ 5 0 % ) 4例 ,占 14 3% ;有效 (5 0 % >恢复率≥ 5 % ) 1例 ,占 3 7%。植骨全部骨性融合 ,无植骨块脱出、塌陷、下沉等。结论 前路颈椎椎体次全切除术减压彻底 ,有较高的恢复率 ,植骨融合牢固 。
Objective To observe the curative effects of cervical spondylotic myelopathy with subtotal excision of the cervical vertebra body and bone grafting fusion. Methods 28 patients were treated with anterior decompression subtotal excision of the cervical vertebra body and bone grafting fusion and the curative effects observed by JOA marking. Results The patients were followed up for 1 year and 3 months on average. 23 cases, 4 cases and 1 cases obtained excellent ( ie recovery rate≥80%), good ( ie 80% > recovery rate≥50%) and effective ( ie 50%>recovery rate≥5%) results, respectively up to 82%, 50% and 3 7%. Meanwhile, all the bones grafted get coalesed and no dislocation or sinking was found. Conclusion Treatment with anterior subtotal excision of the cervical vertebra body can give a thorough decompression and a relatively higher recovery rate while the bones grafted coalese firmly and they have little impact on the stability of the cervical vertebra. [
出处
《临床骨科杂志》
2001年第4期284-286,共3页
Journal of Clinical Orthopaedics
关键词
颈椎病
椎板切除术
脊柱融合
骨移植
治疗
cervical spondylosis
laminectomy
spinal fusion
bone transplantation
