摘要
目的:对于单纯神经根型颈椎病的患者而言,绝大多数可以通过牵引、理疗等保守治疗而获得满意效果,仅少数患者须手术治疗。应用自体骨植骨及钛质网笼植骨在颈前路减压的基础上行内固定手术治疗神经根型颈椎病,观察其技术方法与疗效。方法:①对象:选择2002-03/2006-09福建医科大学附属第一医院骨科收治的神经根型颈椎病患者30例,男24例,女6例;年龄31～66岁;病程3个月～12年。②手术方法:采用颈前路减压、自体髂骨植骨(或钛质网笼植骨)、自锁钛板内固定术治疗。③评估:观察患者术后3,6,12个月复查X射线片结果;手术前后JOA评分,症状和体征改善情况,以及材料反应和宿主反应;观察手术时间和出血量。结果:30例患者全部进入结果分析。①患者术后症状及体征均有不同程度的改善;术前JOA评分平均为12.8分,术后评分平均为15.3分,优良率为90%。②术后X射线片均显示植骨融合,无内固定断裂、松动。③仅出现1例宿主反应。④手术时间70～150min;术中失血50～300mL。结论:在颈前路减压基础上应用植骨内固定技术治疗神经根型颈椎病、手术创伤较小,入路简单,安全性高,减压彻底,疗效确切,可以显著提高患者生活质量。
AIM： Pure cervical spondylotic radiculopathy can mostly be satisfactorily cured by traction, physical treatment and so on. Only few patients receive operation. Anterior decompression combined with iliac bone autograft or titanium cage filled with autogenous bone and internal fixation is used to treat cervical spondylotic radiculopathy in this article and the method and the curative effect are investigated.METHODS： （1）Thirty patients with cervical spondylotic radiculopathy treated at Department of Orthopaedics, First Affiliated Hospital, Fujian Medical University from March 2002 to September 2006 were included in this study. The patients included 24 males and 6 females with the ages from 31 to 66 years. The courses of diseases ranged from 3 months to 12 years. （2）All were given anterior decompression, lilac bone autografl or titanium cage filled with autogenous bone and internal fixation with titanium plate. （3）The time of operation, the quantity of hemorrhage, the improving of symptoms and physical signs, JOA grading, X-rey postoperatively, the reactions of material and the host response were observed at months 3, 6 and 12 in all patients. RESULTS： Totally 30 patients were involved in the result analysis. （1）Symptoms and physical signs were improved to different degrees. By JOA grade system, the mean scores were 12.8 points preoperatively and 15.3 points postoperatively. The excellent and good rate was 90%. （2）According to X-ray postoperatively, the plant bone all fused and there were no intemal fixation rupture and loose. （3）The host response appeared only in one case. （4）The time of operation ranged from 70 to 150 minutes. The quantity of hemorrhage ranged from 50 to 300 mL. CONCLUSION： Anterior decompression combined with autograft internal fixation for cervical spondylotic radiculopathy can improve patient＇s life quality, and the method is minimally invasive, simple, effective, safe and reliable.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2007年第49期9993-9997,共5页
Journal of Clinical Rehabilitative Tissue Engineering Research
