经胸骨前路减压治疗颈胸段脊髓压迫症  

Anterior Decompression Via Trans-sternal Approach for the Treatment of Cervicothoracic Spinal Cord Compression

作　　者：朱悦[1,2] 王居强[1,2] 范广宇 王星铎[1,2] 

机构地区：[1]中国医科大学第一临床学院骨科 [2]辽宁省邮电医院骨科

出　　处：《中华骨科杂志》1999年第3期136-138,共3页Chinese Journal of Orthopaedics

摘　　要：目的观察经胸骨前路椎体扩大开窗减压，椎间植骨融合术治疗颈胸段脊髓压迫症的疗效。方法３例颈胸段脊髓压迫症中，２例为后纵韧带骨化，１例为胸椎骨折。手术取颈胸部联合切口，纵行劈开胸骨，显露颈胸段椎体，用切骨刀及气动球磨钻扩大开窗减压，去除椎体骨质、突出椎间盘或骨化的后纵韧带，取髂骨块行椎间植骨融合。结果经平均１６个月的随访，患者脊髓功能均有不同程度地恢复。结论经胸骨前路减压是一种安全有效的治疗颈胸段脊髓压迫症的手术方法。Objective To observe the therapeutic effects of anterior decompression and fusion via atrans-sternal approach on the treatment of cervicothoracic spinal cord compression. Methods Among the threecases of cervicothoracic spinal cord compression, two were diagnosed as ossification of the posterior longitudinalligament and as fracture of the thoracic spine. Thecombined cervicothoracic incisonand sternotomy wereperformed for the exposure of the vertebral bodies, which were removed together with the herniated discsor theossified posterior longitudinal ligaments, using the osteotomes and the air-drill. Fusion was done with the iliacbone graft. Results in a mean follow-up period of 16 months, all the patients had different degrees of recoveryin the neurologic function. Conclusion Anterior decompression through a trans-sternal approach is a safe andeffective method for the treatment of cervicothoracic spinal cord compression.[

关 键 词：颈椎 胸椎 脊髓压迫症 减压术 

分 类 号：R744.205[医药卫生—神经病学与精神病学]