手术治疗混合型颈椎病  

Surgical Treatment of Mixed Cervical Spondylosis

作　　者：欧阳甲[1] 程力[1] 盛伟斌 张燕[1] 米吉提[1] 盛军[1] 艾尔肯[1] 

机构地区：[1]新疆医学院第一附属医院骨科

出　　处：《中国矫形外科杂志》1998年第2期99-100,共2页Orthopedic Journal of China

摘　　要：混合型颈椎病常合并有颈椎管狭窄。为使前路手术治疗以脊髓型为主混合型颈椎病，脊髓、神经根和椎动脉减压更有效，作者设计了前路广泛减压手术。采用无震动技术于受累椎体前方“开窗”，切除其后方骨赘，突出的椎间盘或骨化的后纵韧带，充分扩大狭窄的椎管；切除增生肥大的钩椎关节以扩大椎间孔，切除横突孔的前内侧壁和束缚椎动脉的纤维组织以松解椎动脉；同时，自体髂骨块嵌入植骨于手术骨窗中。１９８７年以来，手术治疗４２例患者，随访１０～９２个月，效果优良。文中讨论了该病病理、诊断要点。Mixed cervical spondylosis (MCS) is often combined with the stenosis of cervical canal.For surgical treatment of patients with cervical myelopathy combined with radiculopathy and/or cervical vertigo,the authors designed a extensive anterior decompression to release the involved spinal cord,nerve roots and/or vertebral arteries more effectively.Forty one patients with MCS were treated with the extensive anterior decompression since 1987.The pathologic segments in all patients were evaluated preoperatively with cervical plain radiography,myelography,computed tomographic myelography and magnetic resonance imaging.Based on the Japanese Orthopaedic Association score(JOA),all the patients were assessed at follow up and 18 patients were evaluated postoperatively with magnetic resonance imaging.The results were satisfactory.We conclude the extensive anterior decompression is a new and effective procedure for treating MCS.

关 键 词：颈椎病 椎动脉 外科手术 治疗 

分 类 号：R681.55[医药卫生—骨科学]