颈椎病椎体次全切除术  

Subtotal vertebrectomy for treatment of cervical spondylosis

作　　者：黄红云[1] 刘宗惠[1] 段国升[1] 

机构地区：[1]海军总医院神经外科,解放军总医院神经外科

出　　处：《中华神经外科杂志》1995年第2期80-82,共3页Chinese Journal of Neurosurgery

摘　　要：介绍采用改良式颈椎椎体次全切除术治疗４７例多节段脊髓型或脊髓－神经根混合型颈椎病。手术有效率为９３．７％（４４例），优良率为８０．９％（３８例），无手术死亡或重残发生。文中讨论了本手术的解剖基础、适应证和作者手术体会。Abstract Subtotal vertebrectomy was performed in 47 patients with multisegmental cervical spondylotic myelopathy or myeloradiculipathy.There were 37 men and 10 women,ranging in age from 35 to 76 years.There were 30 cases with cervical spondylotic myelopathy and 17 cases with cervical spondylotic myeloradiculopathy.In this series,1-3 vertebral bodies were subtotally removed with modify its posterior one third removed in woodwind-like fashion high-speed microdrill under sursical microscope.The spinal cord and nerve roots were completly decompressed,a rectangular autogenous bone graft was inserted in the bone defect.Follow-up ranged from 4 to 48 months, with an average of 18 months.In the total 47 patients,44(93.7%)patients showed improvement and 38(80.9%)showed remarkable improvement.No malunion of bone grafts.The authours suggest,the modifyed subtotal vertebrectomy may be an idearl surgical procedure for treatment of multipe segmental cervial spondylotic myelopathy or myeloradiculopathy.

关 键 词：椎体次全切除术 颈椎病 椎体切除 

分 类 号：R810.550.5[医药卫生—放射医学]