摘要
目的 :探讨颈前路椎体次全切除植骨融合治疗脊髓型颈椎病的手术效果。方法 :88例脊髓型颈椎病患者 ,男性62例 ,女性26例 ,年龄平均52 2岁 ,病程平均25 3个月。术前JOA评分平均为8 5分。全部行颈前路椎体次全切除减压 ,自体髂骨植骨。结果 :64例获随访 ,平均33 2个月 ,植骨全部于术后3～4个月骨性愈合。手术优良率为79 6%,术后JOA评分平均14 4分。结论 :颈前路椎体次全切除植骨融合治疗脊髓型颈椎病的疗效确切 ,能同时直接去除椎间盘水平和椎体后方的脊髓压迫。
Objective:To study the effect of operation of anterior corpectomy and fusion for treatment of multilevel cervical spondylotic myelopathy(CSM).Methods:In 88 CSM patients,62 were male and 26 female,aged on average 52.2 years.The duration of illness was 25.3 months on average.All patients were treated with anterior corpectomy and selfiliac bone graft.Results: Sixty-four patients were followed up for 33.2 months on average.All grafting bones got solid fusion in 3 to 4 months postoperatively.The excellent rate of operation was 79.6%.The JOA score rose from 8.5 points before operation to 14.4 points after operation. Conclusion: Effect of anterior corpectomy and fusion for treatment of multilevel cervical spondylotic myelopathy is certainly.The spinal cord decompression at the disc level and body level.
出处
《天津医科大学学报》
2002年第1期75-77,共3页
Journal of Tianjin Medical University
关键词
椎体次全切除术
植骨
颈椎病
治疗
Subtotal vertebrectomy
Bone graft
Cervical spondylosis
