颈前路选择性节段减压治疗老年多节段脊髓型颈椎病  

Selectively segmental cervical decompression through anterior approach:effect on the treatment of senile segmental cervical spondylotic myelopathy

作　　者：石健[1] 汤逊[1] 周田华[1] 徐永清[1] 潘险峰[1] 

机构地区：[1]成都军区昆明总医院全军骨科中心,昆明650032

出　　处：《中国矫形外科杂志》2010年第9期712-715,共4页Orthopedic Journal of China

摘　　要：[目的]探讨颈前路选择性节段减压治疗老年多节段脊髓型颈椎病的效果。[方法]回顾性分析自2004年6月～2008年6月期间,采用颈前路选择性节段减压治疗并获随访的27例老年多节段脊髓型颈椎病患者的临床资料,根据术前和术后随访时JOA评分结果评估神经功能改善情况。[结果]经18～27个月(平均19.7个月)随访,所有病例内置物无松动、移位。术后JOA评分改善率为56.1%,其中优8例,占29.6%;良11例,占40.7%;中6例,占22.2%;差2例,占7.4%。[结论]颈前路选择性节段减压能够兼顾老年脊髓型颈椎病患者的全身情况及神经功能恢复,是治疗老年多节段脊髓型颈椎病的有效方法,术前减压节段的正确选择是决定术后恢复效果的关键。[Objective]To investigate the effect of selectively segmental cervical decompression through anterior approach in the treatment of senile segmental cervical spondylotic myelopathy. [Methods]Twenty-seven cases of senile segmental cervical spondylotic myelopathy experienced selectively segmental cervical decompression through anterior approach from 2004 to 2008 were reviewed retrospectively. Pre-and post-operative JOA scores were compared to evaluate the improvement of neurological function.[Results]Patients were followed up for an average of 19.7 months （ranged,18-27 months）. No loosening or displacement was found in all cases. Postoperatively,ratio of JOA improvement was 56.1%,including excellent result in 8 cases （29.5%）,good result in 11 cases （40.7%）,fair result in 6 cases （22.2%）,poor result in 2 cases （7.4%）.[Conclusion]Selectively segmental cervical decompression through anterior approach is effective in the treatment of senile segmental cervical spondylotic myelopathy,giving consideration to patient＇s general physical condition and recovery of neurological function. Correct segments selection of preoperative decompression is the key point of result of postoperative restoration.

关 键 词：老年人 多节段 脊髓型颈椎病 前路减压 融合 

分 类 号：R687.3[医药卫生—骨科学]