颈椎退行性不稳症的外科干预及其疗效分析  

Surgical Intervention and Curative Effects in Degenerative Cervical Instability

作　　者：曾腾辉[1] 顾洪生[1] 李振宇[1] 阎洪印[1] 田长庆[1] 周文钰[1] 

机构地区：[1]广东省深圳市第二人民医院脊柱外科,518035

出　　处：《岭南急诊医学杂志》2009年第2期105-106,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨颈椎退行性不稳症的诊断、手术适应证、稳定重建的方法及其临床疗效。方法:回顾性分析1997年8月至2006年12月退行性下颈椎不稳症患者37例的临床资料。结果:全部病例随访,随访时间12～39个月,平均20.7个月。术前.JOA评分为8.43±1.36、术后为14.81±3.21,差异有显著性(P<0.01)。术后疗效为优21例、良14例、可1例、差1例,优良率94.5%。结论:退行性颈椎不稳症经正规保守治疗无效者,应尽早行前路减压、椎体间融合以重建颈椎的稳定性,恢复颈椎间隙高度和生理曲度。Objective:To discuss the diagnosis,indications for surgical intervention,methods of cervical reconstruction and clinical curative effects.Methods:The clinical data of 37 cases performed anterior cervical operation from Aug 1997 to Dec 2006 were analyzed retrospectively.Results:All patients were followed up from 12 to 39 months with an average 20.7 months.The JOA graded 8.43±1.36 in pre-operation and 14.81±3.21in post- operation.It was a significant difference (P<0.01).The postoperative curative effects were 21 cases excellent,13 cases better,2 cases good and 1 case poor.Conclusions:Operation therapy choosed should be when normal conservation treated invalidated as soon as possible.The surgical intervention includes cervical stability and reconstruction,resume cervical vertebrae disc height and physiological curve.The operation is definite and safe.

关 键 词：颈椎 退行性颈椎不稳 诊断 颈椎重建 

分 类 号：R687.3[医药卫生—骨科学]