摘要
目的 评价颈前路手术治疗多节段脊髓型颈椎病的术后疗效及并发症. 方法 33例患者中,14例行多节段椎间盘摘除、植骨前路钢板固定;19例行椎体次全切除长条植骨前路钢板内固定.结果 术后平均随访19个月.33例术前JOA评分2～14（8.88±0.64）分,术后最终随访时8～16（14.10±0.39）分,差异有显著性（P〈0.01）.优良21例,好转11例,加重1例.术后改善率10%～93%,平均61%.结论 对于多节段脊髓型颈椎病不伴有连续性后纵韧带骨化的患者,前路减压植骨融合内固定有显著疗效.
Objective To investigate the clinical outcomes of cervical anterior operation for multilevel cervical spondylosis. Methods 33 cases with multilevel cervical spondylosis were retrospectively studied. 14 underwent multilevel anterior cervical discectomies and fusion, and 19 cases underwent selectively anterior corpectomy and fusion, and all of them were performed bone grafting and anterior cervical spine locking plate fixation. Results The average follow-up was 19 months. The preoperative JOA score of an cases ranged from 2 to 14 points,with an average score of 8. 88 ±0. 64 points. Postoperation JOA score was from 8 to 16 points,with an average of score of 14. 10 ±0. 39 points. The difference was significant（ P 〈 0. 01 ）. The results were excellent and good in 21 cases, improved in 11 and worse in 1. The improvement rate ranged from 10% to 93.3% ,with an average of 61%. Conclusions The operation of anterior decompression with bone grafting and plate fixation is indicated for multilevel cervical spondylosis without long segments of compression in the cervical spine due to ossification of the posterior longitudinal ligament.
出处
《临床骨科杂志》
2006年第3期215-216,共2页
Journal of Clinical Orthopaedics
关键词
颈椎病/外科学
前路手术
治疗结果
cervical spondylosis/surgery
anterior operation approach
treatment outcome
