二期前后路手术治疗颈椎后纵韧带骨化症的疗效分析  

Two Stages Anteroposterior Decompression and Internal Fixation for Ossification of Posterior Longitudinal Ligament

作　　者：李忠海[1] 赵杰[1] 张海龙[1] 侯铁胜[1] 陈志明[1] 马辉[1] 王聪[1] 

机构地区：[1]上海长海医院骨科,上海市200433

出　　处：《中国骨与关节损伤杂志》2009年第11期964-967,共4页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨二期前后路治疗颈椎后纵韧带骨化症(OPLL)的必要性及可行性。方法对手术治疗18例颈椎OPLL患者的临床资料进行回顾性总结分析,按照JOA评分标准判定其术后改善率,对患者术前术后X线、CT及MRI影像学资料进行比较分析,并统计手术并发症。结果患者均获随访,时间为3～72个月。一期前路术后JOA改善率51.7%,二期后路术后随访时JOA改善率50%。术后并发脑脊液漏1例,节段性神经根麻痹1例。结论采用二期前后路治疗颈椎OPLL具有病灶切除彻底、减压完全、安全有效的特点,是治疗该病的较好方法。Objective To evaluate and analyze the results and complications of two stages anteroposterior decompression and internal fixation for ossification of posterior longitudinal ligaments （OPLL）. Methods The clinical data of 18 patients from 2003 with cervical OPLL were reviewed and analyzed. The improvement rate according to JOA scoring system was evaluated. Some relevant imaging examination data including X-rays, CT and MRI were also measured, whieh were taken pre-and post-operatively. Surgical complications were also recorded. Results All cases were followed up for 6-30 months. There was 1 patient with dural tear and 1 with segmental nerve root palsy after operation. Conclusion Two stages anteroposterior decompression and internal fixation is a good alternative method for treatment of OPLL, for it has advantages of compile decompression, reliable therapeutic effect and sound recovery.

关 键 词：颈椎 后纵韧带骨化症 手术入路 脊髓型颈椎病 

分 类 号：R686.5[医药卫生—骨科学] R681.53[医药卫生—外科学]