前后路手术治疗脊髓型颈椎病的分析  

Anterior and posterior operations for cervical spondylotic myelopathy

作　　者：闫占明[1] 杨物鹏[1] 付万有[1] 王新亮[1] 杨永晨[1] 白锋[1] 杜宝在[1] 

机构地区：[1]鄂尔多斯市中心医院骨科,内蒙古鄂尔多斯017000

出　　处：《临床骨科杂志》2005年第6期486-488,共3页Journal of Clinical Orthopaedics

摘　　要：目的分析脊髓型颈椎病(CSM)前后路手术的疗效和特点.方法对105例CSM术后患者,按JOA评分系统行术前和术后的神经功能分析.结果随访时间平均为36个月(20～80个月),术后54例前路减压植骨内固定患者48例明显改善,而后路椎管成型术51例患者中42例症状改善明显.结论前后路手术对早期CSM的治疗均取得良好的治疗效果,但随时间的延长(即晚期)其手术治疗效果也下降.晚期患者脊髓损害时间愈长手术治疗效果愈差.术前症状持续的时间与术后恢复程度有明显的相关性.Objective To investigate the effects and characteristics of anterior and posterior operations for cervical spondylotic myelopathy （CSM）. Methods The neural function was assessed according to Japanese Orthopaedic Association （JOA） Scoring System for 105 cases of CSM pre- and post-operatively. Results All cases were followed up for 36 months （20 -80 months）. 48 cases out of 54 undergone anterior decompression, bone graft and internal fixation got significant improvement; 42 cases out of 51 undergone posterior laminoplasty got significant improvement. Conclusions Both anterior and posterior operations are effective for early stage CSM, but not so effect for late stage CSM. Longer duration of spinal cord injury means less effect. The preoperative symptom is correlative with the postoperative recovery.

关 键 词：颈椎病 前路减压植骨内固定 后路椎管成形术 评估 

分 类 号：R681.55[医药卫生—骨科学] R687.3[医药卫生—外科学]