期刊文献+

3节段脊髓型颈椎病前路选择性减压植骨内固定疗效分析 被引量:3

原文传递
导出
摘要 目的探讨采用前路单个椎体次全切除联合单个间隙减压(选择性减压)治疗3节段脊髓型颈椎病的临床疗效。方法采用颈椎前路选择性减压植骨内固定治疗31例3节段脊髓型颈椎病,对于影像学上压迫较重的节段选择单椎体次全切除及上下椎间盘切除,压迫较轻的节段行单间隙减压。结果 31例患者术后JOA评分均明显提高,改善率有统计学意义(P<0.05)。根据Odom临床效果分级,优良率85%。结论选择性节段减压治疗3节段脊髓型颈椎病减压彻底,术后患者手术节段均获得了融合,手术节段高度无明显丢失,恢复的颈椎生理曲度无丢失,恢复了颈椎稳定性,患者术后症状改善满意,此手术是目前治疗3节段脊髓型颈椎病的较好方法,值得临床上推广应用。
出处 《中国骨与关节损伤杂志》 2014年第3期270-271,共2页 Chinese Journal of Bone and Joint Injury
  • 相关文献

参考文献8

  • 1Ashkenazi E,Smorgiek Y,Rand N,et al. Anterior decompression combined with eorpeetomies and discectomies in the management of multilevel cervical myelopathy: a hybrid decompression and fixation technlque[J]. J Neurosurg Spine, 2005,3(3) : 205-209. 被引量:1
  • 2平林冽.日本整形外科学会颈髓症治疗成绩判定基准叨.日整会志,1994,68(5):490-503. 被引量:1
  • 3Brodke DS,Klimo P Jr,Bachus KN,et al. Anterior cervical fixation: analysis of load-sharing and stability with use of static and dynamic plates[J]. J Bone Joint Surg(Am) ,2006,88(7) :1566-1573. 被引量:1
  • 4张冬生,杨永宏,楼肃亮,朱江军.多节段脊髓型颈椎病前后不同手术入路的比较分析[J].中国骨与关节损伤杂志,2012,27(9):780-782. 被引量:20
  • 5Singh K, Vaecaro AR, Kim J, et al. Enhancement of stability follow- ing anterior cervical corpectomy:a biomechanieal study [J]. Spine (Phila Pa 1976), 2004,29(8) : 845-849. 被引量:1
  • 6Goffin J,Geusens E,Vantomme N,et al. Long-term follow-up after interbody fusion of the cervical spine [J]. J Spinal Disord Tech, 2004,17(2) :79-85. 被引量:1
  • 7张振辉,陶志强,伍绍成,阮才政.多节段脊髓型颈椎病前后路手术疗效的临床观察[J].中国骨与关节损伤杂志,2012,27(1):37-38. 被引量:12
  • 8Rao RD,Gourab K,David KS. Operative treatment of cervical spondy- lotic myelopathy[J]. J Bone Joint Surg(Am) ,2006,88(7) : 1619-1640. 被引量:1

二级参考文献16

  • 1曾岩,党耕町,马庆军.颈椎前路术后融合节段曲度变化与轴性症状和神经功能的相关性研究[J].中国脊柱脊髓杂志,2004,14(9):520-523. 被引量:106
  • 2张士杰 王晓辉 周志锋等.椎间融合器与颈椎钛板联合在颈椎前路多节段减压融合术中的应用[J].中国骨与关节损伤杂志,2010,25(3):222-223. 被引量:6
  • 3Chibbaro S, Benvenuti L, Carnesecchi S, et al. Anterior cervical corpectomy for cervical spondylotic myelopathy:experience and surgical results in a series of 70 consecutive patients [J]. J Clin Neurosci, 2006,13(2) :233-238. 被引量:1
  • 4Petraglia AL, Srinivasan V, Coriddi M, et al. Cervical laminoplasty as a management option for patients with cervical spondylotic myelopathy: a series of 40 patients[J]. Neurosurgery ,2010,67(2): 279-277. 被引量:1
  • 5Cunningham MR, Hershman S, Bendo J. Systematic review of cohort studies comparing surgical treatments for cervical spondylotie myelopathy[J]. Spine (Phila Pa 1976), 2010,35(5): 537-543. 被引量:1
  • 6Singh K,Vaccaro AR, Kim J,et al. Enhancement of stability following anterior cervical eorpectomy:a biomeehanieal study [J].Spine, 2004,29(8): 845-849. 被引量:1
  • 7Takayuki Fujiyoshi, MD;Masashi Yamazaki, MD, PhD;Junko Kawabe, MD;et al. A new concept for making decisions regarding the surgical approach for cervical ossification of the posterior longitudinal ligament the K-line[J]. Spine,2008,33:990-993. 被引量:1
  • 8Wang JM,Roh KJ,Kim DJ,et al. A new method of stabilizing the elevated laminate in open-door laminoplasty usingan anchor system[J]. J Bone Joint Surg(Br), 1998,80 (6) : 1005-1008. 被引量:1
  • 9Deutsch H,Mummaneni PV,Rodts GE,et al. Posterior cervical laminoplasty using a new plating sstem:technical note [J]. J Spinal Disord Tech ,2004,17(4) :317-320. 被引量:1
  • 10Ratliff J, Voorhies RM,Outcome study of surigical treatment for axial neck pain (Statistical Data Included)[J].South Med J,2001,94(6): 595-602. 被引量:1

共引文献29

同被引文献18

引证文献3

二级引证文献21

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部