摘要
目的 :对前路飘浮法治疗颈椎后纵韧带骨化症 (OPLL)手术疗效进行初步评析。方法 :对 16例颈椎O PLL患者行前路飘浮法治疗 ,其中连续型 3例 ,节段型 8例 ,混合型 3例 ,孤立型 2例 ;最长手术节段 3节 ;椎管狭窄率 3 0 %～ 70 %。所有患者均采用钛板、钛网行颈椎重建。术后对近期结果随访 ,并按日本矫形外科协会 (JOA)评分系统评分。结果 :平均随访时间 6个月 ,平均恢复率为 68 2 %。无脑脊液漏、神经损伤等并发症发生。颈椎融合良好。结论 :前路飘浮法适合于大多数OPLL患者 ;
Objective:To preliminarily evaluate and analyze the efficacy of anterior floating method used to manage ossification of the cervical posterior longitudinal ligament.Method:The anterior floating method was used to decompress cervical ossification of the posterior longitudinal ligament in 16 patients.Among them,successive type,3 cases;segmental type,8 cases;combined type,3 cases;isolated type,2 cases.The maximal operative segments were three.The range of the canal narrowing ratio from 30% to 70%.Titan plate and net were used to reconstruct the cervical spine in all the patients.Short-term results were followed with neurologic evaluations using a scoring system proposed by the Japanese Orthopedic Association (JOA score).Result:An average postoperative follow-up interval were six months.The average recover ratio was 68.2%.Complications such as leakage of cerebrospinal fluid,neurologic injury were not observed.Fusion of the cervical spine was well.Conclusion:Anterior floating method is suitable to the most of ossification of the posterior longitudinal ligament.The newly internal fixation system of cervical spine can enlarge the anterior approach indication of OPLL.
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第11期822-824,共3页
Orthopedic Journal of China
关键词
前路飘浮法
颈椎
后纵韧带骨化
Anterior floating method
Cervical spine
Ossification of posterior longitudinal ligament
