锚定法改良单开门颈椎管成形术治疗脊髓型颈椎病  

Treatment of cervical spondylotic myelopathy by modified open door laminoplasty using anchor method

作　　者：刘兰泽[1] 陈先[1] 孙来卿[1] 王立功[1] 卢占斌[1] 安毅[1] 何宝明[1] 吴春云[1] 

机构地区：[1]唐山市第二医院脊髓损伤科,河北唐山063000

出　　处：《临床骨科杂志》2006年第6期498-499,共2页Journal of Clinical Orthopaedics

摘　　要：目的 探讨锚定法改良单开门颈椎管成形术治疗脊髓型颈椎病的疗效。方法 应用锚定法改良单开门颈椎管成形术治疗脊髓型颈椎病15例。结果 15例均获得随访，时间5～18个月。采用JOA进行评分，术后改善率为78．6％。影像学检查15例，颈椎生理曲度基本正常，未见再关门现象。2例颈部轻度僵硬和活动受限。结论锚定法改良单开门颈椎管成形术可避免再关门，减少术后颈部僵硬、疼痛。可早期进行功能练习。Objective To approach the clinical outcome of modified open door laminoplasty using anchor method to cervical spondylotic myelopathy. Methods 15 patients were undergone modified open door laminoplasty using anchor method. Results JOA score standard was used to evaluate the clinical outcome. The improvement rate was 78.6%. All patients have approximate curvature of cervical vertebrae as normal. There was no case of door re-closure. Conclusions The modified open door laminoplasty using anchor method can avoid door-reclosure, release pain and stiffness and permit functional exercise.

关 键 词：椎管成形 颈椎病 侧块 

分 类 号：R681.5[医药卫生—骨科学] R687.3[医药卫生—外科学]