特殊类型的无骨折脱位型颈髓损伤治疗分析  

Treatment of Special Type of Cervical Spinal Cord Injury without Fracture or Dislocation

作　　者：张海滨[1] 聂林[1] 侯勇[1] 程雷[1] 

机构地区：[1]山东大学齐鲁医院骨创科,山东济南250012

出　　处：《医学与哲学（B）》2008年第9期42-43,52,共3页Medicine & Philosophy(B)

摘　　要：为了探讨多节段后纵韧带骨化伴颈椎间盘突出的无骨折脱位型颈髓损伤的治疗,回顾了本院收治的4例多节段后纵韧带骨化伴颈椎间盘突出的无骨折脱位型颈髓损伤患者的临床资料,并结合相关文献报道进行分析。结果显示,4例患者均早期行前后路联合手术椎管减压,3例患者行预防性气管切开,4例患者术后随访时间6个月～48个月,平均随访24个月。固定节段均获骨性融合,内固定物无松动、断裂;后路手术无再关门现象。术后神经功能评价按Frankel分级,均有1个～2个级别恢复,术前A级2例,B级2例;术后B级2例,C级1例,D级1例。提示对于多节段后纵韧带骨化伴颈椎间盘突出的无骨折脱位型颈髓损伤早期行前后路联合手术减压;预防性气管切开可获得良好的治疗结果。To explore the treatment of cervical spinal cord injury without fracture or dislocation and with ossification of posterior longitudinal ligament and cervical disk herniation. Clinical data of four special cases of cervical spinal cord injury without fracture or dislocation and related literature were collected and analyzed retrospectively. All 4 cases received early anterior-posterior operation. 3 cases undergone prospective tracheotomy. All patients were followed up form 6 to 48 months ,the averaged period was 24 months. All segments with anterior fixation attained solid fusion without loosening or breakage implants. No re-closed door was found in the posterior open-door laminoplasty. Frankel grade：A grade two cases,B grade 2 cases before operation and B grade 2 cases,C grade 1 cases,D grade 1 cases,after operation. Therefore,early anterior- posterior operation and prospective tracheotomy can offer a good result in the treatment of special type of cervical spinal cord injury without fracture or dislocation.

关 键 词：早期 前后路联合手术 脊髓损伤 

分 类 号：R681.54[医药卫生—骨科学]