摘要
脊髓型颈椎病的治疗大体分为颈前路手术和颈后路手术治疗。对于多数脊髓型颈椎病的患者,颈后路手术依然是主要的手术方式,但对于具体的疾病采取何种颈后路手术方式,目前仍存在很多争议。传统手术时间短,出血量少,但是不可避免的出现一些并发症,如轴性症状、颈椎曲度丧失等,影响患者术后的日常生活和工作。因此出现了改进的颈后路手术,如锚定法颈后路单开门椎管成形术,颈后路微型钛板固定植骨融合术等。又如新型的颈后路椎弓根钉内固定手术方式,虽然能获得更好的颈椎曲度,但却丢失了部分的颈椎活动度。因此,需要通过上述手术方式在获得了很好的神经症状改善的同时,尽可能减少并发症的发生,改善患者的预后。
The treatment methods of cervical spondylotic myelopathy-are divided into cervical anterior portion surgery and cervical posterior surgery. For the majority of patients with cervical myelopathy, cervical posterior surgery is still the main choice, but for a specific disease which operation mode of posterior cervical should be adopt, there are still a lot of controversy. The advantage of this treatment method is shorter operation time and less blood loss, etc. Nevertheless, the disadvantages of it are the decrease of cervical range of motion and axial pain and so on. All of these above have brought bad influence to the persons who received that surgical treatment. So from then on, there are many means of improvement treatments coming forth. Expansive open-door laminoplasty of anchoring method, and expansive open-door laminoplasty by center-piece titanium plate are two examples. Although, the surgical methods obtain better operation effects, they also lose parts of the cervical range of motion and celwical curvature index. So, the most important thing is that we must use the right operation method to obtain the best effect, and at the same time reduce the surgical complications.
出处
《齐齐哈尔医学院学报》
2017年第19期2312-2315,共4页
Journal of Qiqihar Medical University
关键词
内固定
颈后路单开门椎管成型术
神经症状
综述文献
Internal lixation
Expansive open-door laminoplasty
Neurologic symptoms
Reviewliterature
