前路开槽减压治疗2个非相邻节段脊髓型颈椎病  

Treatment of cervical spondylotic myelopathy with two non-adjacent levels involved by anterior cervical decompression

作　　者：周俊明[1] 魏鲁青[1] 

机构地区：[1]佛山市第一人民医院骨科,广东佛山528000

出　　处：《临床骨科杂志》2009年第1期41-42,共2页Journal of Clinical Orthopaedics

摘　　要：目的评价颈椎前路手术治疗非相邻节段脊髓型颈椎病的治疗效果。方法采用前路开槽减压植骨内固定治疗18例非相邻节段脊髓型颈椎病患者。根据术前、术后颈椎X线侧位片,了解植骨融合和内固定情况。以JOA评分评价功能改善情况。结果18例均获随访,时间3～24(14±1.3)个月,17例骨性融合,1例在术后3个月因内固定松动进行二次手术。术前JOA评分7.5～10.3分,术后3个月时为10.5～15.9分。优9例,良6例,中2例,差1例。结论前路开槽减压植自体骨内固定治疗非相邻节段脊髓型颈椎病有较好的疗效。Objective To investigate the result of anterior decompression in the treatment of cervical spondylotic myelopathy （CSM） with non-adjacent levels involved. Methods 18 cases of CSM with non-adjacent levels involved underwent anterior cervical decompression, autograft fusion, and internal fusion. Preoperative, immediate postoperative and follow-up X-ray films and JOA scores were utilized to evaluate the fusion of implanted bone, the stability of internal fixation, and the improvement of neurological deficit. Results 18 were followed up for 3 - 24 months （ 14 ± 1.3 months）, body fusion was attained in 17 cases. One case was failure after 3 months of the operation, which need the second operation because of the loosening of internal fixation. According to JOA score, the scores was 7.5 - 10. 3 preoperatively and 10. 5 - 15.9 3 months posteperatively. There were 9 excellent cases, 6 good cases, 2 fair cases, and 1 poor case. Conclusions Anterior cervical decompression, autograft fusion is a rational and effective method for the surgical treatment of non-adjacent levels CSM.

关 键 词：脊髓型颈椎病 非相邻节段 减压术 外科 

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