摘要
目的探讨比较脊髓型颈椎病前路手术和后路手术的术后功能恢复效果。方法对63例脊髓型颈椎病患者手术前后功能恢复情况进行回顾性分析。前路组为39例行前路减压＋植骨及固定或不用固定手术患者，后路组为24例行后路椎板减压、单开门或双开门术患者，术后定期复查。结果通过平均26个月的随诊，术后两组患者远期功能恢复、颈椎总活动度比较差异均有统计学意义，但两组术后骨性融合率比较差异无统计学意义。结论脊髓型颈椎病患者行前后路手术都可以使颈椎融合稳定，后路手术相比前路会使颈椎活动范围减少，柔韧性下降，远期功能恢复情况与前路相比亦差。
Objective To compare the postoperative functional recovery of anterior and posterior approach operation for cervical spondylotic myelopathy. Methods The functional reovery information of 63 patients with cervical spondylotic myelopathy were retrospectively analyzed. Thirty-nine cases in anterior approach group were given anterior decompression, bone graft, fixed or not fixed, 24 cases in posterior approach group were given posterior vertebral plate depression, mono-open-door or ambo-open-door. Results Through the average period of 26 months follow-up, there were significant differences between the two groups in the results of long-term functional recovery and ROM （range of motion） of cervical vete- bra, but there was no significant difference between the two groups in solid interbody fusion. Conclu- sions The anterior and posterior approach operation in treating cervical spondylotic myelopathy can both make cervical vertebral fusion stable. Posterior approach operation decreases more the ROM and the flexibility of cervical spine and the long-term result is worse than anterior approach operation.
出处
《中国实用医刊》
2012年第11期7-8,共2页
Chinese Journal of Practical Medicine
关键词
颈椎病
前路
后路
Cervical spondylosis
Anterior approach
Posterior approach
