摘要
目的:探讨过屈位K线与单开门椎管成形术治疗颈椎后纵韧带骨化症疗效的关系,为术前选择手术方案提供依据。方法:回顾性分析2012年1月至2016年7月期间29例颈椎后纵韧带骨化症患者。根据骨化物与K线的位置,在颈椎过屈位X片上分为过屈位K线阳性组及过屈位K线阴性组,两组患者均行颈椎单开门椎管成形术治疗。记录两组患者的术前、术后1年的JOA评分及JOA改善率,以评定过屈位K线的临床使用价值。结果:术后1年,两组患者JOA评分均上升,过屈位K线阳性组术后疗效优于过屈位K线阴性组,差异有统计学意义(P<0.05)。术后1年,过屈位K线阳性组JOA改善率高于过屈位K线阴性组,差异有统计学意义(P<0.05)。结论:过屈位K线与单开门椎管成形术治疗颈椎后纵韧带骨化症疗效有关,过屈位K线阳性患者术后疗效优于过屈位K线阴性患者,术前过屈位K线阳性患者可首选单开门椎管成形术。
Objective：To explore the relationship between the K-line in the neck-flexed position and the effect of unilateral open-door laminoplasty for ossification of posterior longitudinal ligament,and to provide a basis for surgical procedure selection.Methods：From January 2012 to July 2016,29 patients underwent unilateral open-door laminoplasty suffered from OPLL were reviewed retrospectively.All the patients were classified into K-line positive group and K-line negative group according to the K-line in neck-flexed position.The JOA score and improvement rate of two groups before and 1 year after operation were recorded to evaluate the clinical value of K-line in neck-flexed position.Results：One year after operation,The scores of JOA in the two groups were all increased,and the effect of the K-line positive group was better than that of the K-line negative group.The difference was statistically significant（P〈0.05）.One year after operation,the improvement rate of JOA score of the K-line positive group was higher than that of the K-line negative group,and the difference was statistically significant（P〈0.05）.Conclusion：There is a relationship between the K-line in the neck-flexed position and the effect of unilateral open-door laminoplasty for ossification of posterior longitudinal ligament.The effect of the patients with K-line positive is better than that of the K-line negative and unilateral open-door laminoplasty is recommended for K-line positive patients.
作者
肖祥
麦烙棋
杨仁轩
XIAO Xiang;MAI Luoqi;Yang Renxuan(Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China;Zhuhai Branch of Guangdong Provincial Hospital of Traditional Chinese Medicine,Zhuhai 519015,Guangdong China)
出处
《中国中医骨伤科杂志》
CAS
2018年第8期43-46,51,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
后纵韧带骨化症
颈椎单开门椎管成形术
过屈位K线
ossification of posterior longitudinal ligament
unilateral open-door laminoplasty
k-line in the neck-flexed position
