无骨折脱位型颈脊髓损伤的单开门椎管扩大成形术治疗  

The surgical treatment of expansive open door laminoplasty through posterior approach of cervical spinal cord injury without radiographic abnormality

作　　者：李振科[1] 吴焯鹏[1] 匡光志[1] 冯华杰[1] 吴科杰[1] 

机构地区：[1]广东省开平市中心医院,529300

出　　处：《中国医学创新》2012年第1期121-122,共2页Medical Innovation of China

摘　　要：目的探讨无骨折脱位型颈脊髓损伤的后路单开门椎管扩大成形术的治疗方法及疗效。方法根据影像学表现,对23例伴有颈椎退行性改变、椎管狭窄的无骨折脱位型颈脊髓损伤患者均采用颈后路C3～7单开门椎管扩大成形术治疗。结果本组23例患者术后Frankel分级较术前明显改善,临床效果满意。结论采用颈后路C3～7单开门椎管扩大成形术治疗伴有颈椎管狭窄的无骨折脱位型颈脊髓损伤手术操作不复杂,椎管减压充分,手术并发症出现少,是一种有效治疗的方法。Objective To explore the surgical treatment of expansive open door laminoplasty through posterior approach and its clinical outcomes of cervical spinal cord injury without radiographic abnormality （ SC IW ORA）. Methods 23 cases with cervical SC IW ORA had degenerative changes or spinal stenosis in cervix by medical imageology were all treated by expansive open door laminoplasty from C3-7 through posterior approach. Results The grate of surgical curative effect was evaluated by Frankel criterion was obviously improve for the 23 cases, the clinical effect was satisfy. Conclusion The surgical operation of expansive open door laminoplasty from C3 -7 through posterior approach to curing the cervical SC IW ORA with degenerative changes or spinal stenosis in cervix was not complex, the pressure of cervical was reduced sufficient, and the complications of surgery was seldom, and it was an effective clinical treatment.

关 键 词：无骨折脱位型颈脊髓损伤 颈椎管狭窄 后路单开门椎管扩大成形术 

分 类 号：R651.2[医药卫生—外科学]