摘要
报告了椎体次全切除植骨融合治疗多平面脊髓型颈椎病15例。术后13例随访4～42个月,其中10例显效或有效。椎体次全切除植骨融合的优点在于:(1)能直接解除脊髓前方的压迫,不仅限于椎间隙平面,还包括椎体平面,因而减压较为彻底;(2)植骨不融合的发生率较低;(3)术野较大,便于在显微镜下操作。可有效地避免直接损伤脊髓和神经根。作者强调手术减压要彻底,植骨融合需稳固。
Subtotal vertebrectomy and spinal fusion were carried out in 15 patients with multilevel cervical spondylotic myelopathy.In 13 patients who were followed-up for four to fourty-two months,10 showed marked improvement or improvement.The advantages of subtotal vertebrectomy and spinal fusion were:(1)direct anterior decompression at the disc level as well as body level,(2)low rate of nonunion of bone graft,and (3)wider operative field allowing the use of surgical microscope and avoiding the damage to the spinal cord and nerve roots.It should be emphasized that the decompression of spinal cord should be complete and the bone graft should be inserted firmly.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1989年第3期162-164,共3页
Medical Journal of Chinese People's Liberation Army
关键词
椎体切除
脊柱融合
颈椎病
Vertebrectomy Spinal fusion Cervical spondylosis Anterior decompression
