颈椎后路单开门椎管扩大成形术治疗颈椎管狭窄  

Posterior cervical vertebral expansion and decompression of intraspinal canal (unilateral expansive laminoplasty of cervical vertebra) teat spinal canal stenosis

作　　者：高梁斌 李健 张亮 吕玉明 张志 曾勉东 张平 潘永谦 梁海翔 余升华 

机构地区：[1]广州市第二人民医院骨科,510150

出　　处：《实用医学杂志》2005年第4期355-357,共3页The Journal of Practical Medicine

摘　　要：目的:探讨颈椎椎板的适应证及临床效果。方法:采用颈椎管后路扩大成形术治疗颈椎管狭窄36例;17分计算法(JOA)标准判定术后疗效,参考Hirabayashi计算恢复率。结果:随访3个月至6年。优19例,良8例,可7例,无效2例。无复发。优良率75%。结论:颈后路单开门椎管成形术可通过扩大矢状径达到减压目的,又不易损伤神经,是治疗颈椎管狭窄的有效方法。Objective To observe the effects of posterior cervical vertebral expansion and decompression on intraspinal canal stenosis. Methods The operation was performed on 36 patients with multi level cervical disc herniation or spinal canal stenosis with paraplegia, who were followed up 3 months～6 years. The clinical results were evaluated with the JOA score, the pathogenesis, history as well as characteristics on imagings (CT and/or MRI) and X ray films. Results Recovery or improvement of spinal injury was found in patients after operation, of which 19 cases were excellent, 8 good, 7 fair and 2 poor. The percentage of good and excellent clinical results was 75%. No complications such as paraplegia, blood vessel injures, infection and death occurred. Conclusion Unilateral expansive laminoplasty of cervical vertebra may directly expand sagittal diameter of intraspinal canal, relieve spinal pressure and keep the steadiness of cervical vertebra. The operation is a simple, less dangerous and reliable method for the treatments of spinal canal stenosis and cervical syndrome.

关 键 词：治疗 颈椎管狭窄 单开门椎管扩大成形术 颈椎后路 椎板 单开门椎管成形术 颈后路 结论 目的 参考 

分 类 号：R687.3[医药卫生—骨科学]