颈椎后纵韧带骨化症手术治疗疗效分析  

Surgical Treatment of Ossification of Posterior Longitudinal Ligament of the Cervical Vertebrae

作　　者：林金焕[1] 倪斌[2] 谢建伟[1] 

机构地区：[1]解放军第四二五医院,海南三亚572012 [2]第二军医大学附属长征医院骨科

出　　处：《海军医学杂志》2000年第2期121-123,共3页Journal of Navy Medicine

摘　　要：目的 :讨论颈椎后纵韧带骨化症 (OPLL)手术治疗方法及其疗效。方法 :对本院 1987～ 1998年收治的 49例颈椎后纵韧带骨化症患者手术治疗临床资料进行回顾性总结分析。结果 :按照日本颈椎神经外科等级评分法 ,颈前路减压组术后神经功能平均改善率为 72 % ,而颈后路减压组术后改善率为 43%。完全治愈 16例 ,其中前路减压组 15例 ,后路减压组 1例。结论 :前路减压治疗颈椎OPLL比后路减压治疗疗效佳。但对不适合前路减压治疗病例 。Objective: To discuss the surgical treatment of ossification of posterior longitudinal ligament of cervical vertebrae an d it s curative effect. Methods: The clinical data on surgical treatment of 49 patients with ossification of posterior longitudinal ligament of cervical vertebrae in our hospital from 1987～1998 were collected and ana lyzed. Results: According to NCSS (the neurosurgical cervical spi ne scale), the mean postoperative improvement rate was 72% in patients treated b y anterior decompression and 43% in those treated by posterior decompression. Conclusion: Anterior decompression as a surgical treatment f or OPLL (ossification of posterior longitudinal ligament) was superior to po ster ior decompression. But the later was still an effective method for improving n eurological disorder and the quality of life of the patients with OPLL if the form er was not suitable for them due to technical reasons.

关 键 词：后纵韧带骨化症 颈椎 手术治疗 

分 类 号：R[医药卫生]