颈椎后路单开门成形扩大椎管术治疗颈椎后纵韧带骨化症  

Posterior Open-door Laminoplasty for Ossification of Posterior Longitudinal Ligaments

作　　者：陈剑锋[1] 陈安民[1] 郭风劲[1] 王江[1] 任晔[1] 王茂朋[1] 张帆[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院骨科,武汉430030

出　　处：《中国现代手术学杂志》2011年第3期209-211,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的总结颈椎后路单开门椎管扩大成形术治疗颈椎后纵韧带骨化症(ossification of posterior longitud inal ligam ent,OPLL)的临床效果。方法对13例OPLL患者施行颈椎后路单开门椎管扩大成形术。结果本组平均手术时间150(120～180)m in,术中出血量平均为500(300～800)m l。随访3～18个月,术后15月JOA平均改善率53.35%(18.3%～85.7%),临床症状较术前明显改善。本组2例术后有节段性神经根麻痹,无一例出现脑脊液漏、感染等其它并发症。结论颈椎后路单开门椎管扩大成形术治疗颈椎OPLL效果确切,并发症少。Objective To evaluate the clinical effect of posterior open-door laminoplasty for ossification of posterior longitudinal ligaments（OPLL）.Method 13 OPLL cases were performed extensive open-door laminoplasty.Results The average operation duration was 150 minutes and the average blood loss was 500 ml.All cases were followed up 3 to 18 months.The improvement rate of JOA score was achieved 53.35% averagely 15 months after the operations,and the clinical symptoms of patients improved significantly.Segmental root palsy was found in 2 cases,and no cerebrospinal fluid leakage infection or other complication occurred.Conclusion Posterior open-door laminoplasty is a good method for OPLL with satisfied effects and low complication rates.

关 键 词：颈椎 骨化 后纵韧带 

分 类 号：R687.3[医药卫生—骨科学]