前路椎间盘切除植骨加内固定治疗颈椎间盘突出症21例临床分析  

BONE GRAFTING AND INTERNAL FIXATION IN TREATING CASES OF HERNIATION OF CERVICAL DISK

作　　者：何勇[1] 孟凡志[1] 

机构地区：[1]临沂市中医医院,山东临沂276002

出　　处：《山东医学高等专科学校学报》2008年第2期129-131,共3页Journal of Shandong Medical College

摘　　要：目的探讨不同类型颈椎间盘突出症的手术治疗方法和效果。方法对21例颈椎间盘突出症患者均采用前路减压、植骨融合加内固定治疗,其中脊髓型14例,神经根型5例,混合型2例。结果治疗效果优13例,良5例,可2例,差1例,优良率85.71%。其中脊髓型优12例,良2例,优良率占92.31%。神经根型良2例,优良率占40%,可2例,差1例。混合型优1例,良1例,优良率占100%。结论脊髓型椎间盘突出症术后症状和体征消失明显较神经根型颈椎间盘突出症术后效果好。对脊髓型椎间盘突出症患者出现症状和体征者,应积极行手术治疗,对于神经根型椎间盘突出症行前路手术应慎重考虑。Objective To explore operations and curative effects on different types of herniation of cervical disc. Methods 21 cases received anterior decompression, bone grafting and internal fixation. The 21 cases consisited of vertebral cases,5 nerve - root cases and 2 mixed cases. Results Good curative rates were got in vertebral cases （92.31% ）, nerve - root cases （40 o/6 ） and mixed cases （ 100 % ）. The total good curative rate was 85.7 %. Conclusion Compared with nerve- root cases, vertebral case can get better curative effects. Vertebral cases shold be treated with operations in time, while the nerve- root ＇cases should avoid using anterior operations.

关 键 词：颈椎间盘突出 颈椎病 前路开槽减压 植骨 内固定 

分 类 号：R681.53[医药卫生—骨科学]