摘要
目的探讨、对比颈椎后路单开门椎管扩大成形术对治疗几类常见颈椎病的疗效。方法收集2009年6月~2013年1月我科采用颈椎后路单开门椎管扩大成形术治疗的55例颈椎病患者资料,按病情分为4组,其中46例获得随访,用统计学方法对各组术前术后JOA评分结果、椎管矢状径数值进行统计分析,判断并比较手术疗效。结果随访时间10~31个月,平均18个月,患者无死亡,无感染,无再关门等并发症,2例术后早期出现肩部不适感,2例出现硬脊膜损伤脑脊液漏,做相应处理后症状减轻至消失。术后各组JOA评分均有提高,椎管矢状径增加(<0.005),各组疗效比较无明显差异(>0.05)。结论颈椎后路单开门椎管扩大成形术扩大了颈椎管的容积,直接减除颈髓神经压迫,有效地缓解了患者的症状和体征,是治疗常见颈椎病较为安全、有效的手术方法。
Objective To investigate and compare the efficacy of the treatment of the posterior cervical spinal single door laminoplasty on some common spondylosis. Methods Collected 55 cases of cervical spondylosis with cervical posterior single door laminoplasty treatment in our department, from June 2009 to January 2013, Divided into 4 groups according to disease. 46 cases were followed, Use statistical methods to analyse their preoperative JOA standard score and postoperative score, sagittal diameter of Cervical, Determine and compare the efficacy of surgery. Results Follow-up time is 10 to 31 months, an average time of 18 months. Patients had no complications with deaths, infection, longer closed or others, but two cases appeared shoulder discomfort in early postoperative, two cases occurred cerebrospinal fluid leakage with spinal injury. All the symptoms had disappeared after appropriative treatment. After surgery, JOA standard score is improved in each group, sagittal diameter of Cervical is increased too(P<0.005), there is no significant difference in the efficacy of each group(P>0.05). Conclusion Posterior cervical single door laminoplasty expanded volume of cervical canal, less the compression of cervical spinal cord nerve directly, easing the patients' symptoms and signs effectively. It's a safe and effective surgical treatment of common cervical disease.
出处
《生物骨科材料与临床研究》
CAS
2014年第5期55-57,62,共4页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
单开门
椎管扩大成形术
颈椎病
Single door
Laminoplasty
Cervical spondylosis
