颈前路扩大减压原位植骨术治疗脊髓型颈椎病(附56例报告)  

Anterior Extended Decompression and Bone Grafting in Situ for Cervical Spondylotic Myelopathy

作　　者：徐建广[1] 陈国瑞[2] 

机构地区：[1]上海市第六人民医院骨科,200233 [2]山东医科大学附属医院骨科

出　　处：《骨与关节损伤杂志》2000年第1期9-10,共2页The Journal of Bone and Joint Injury

摘　　要：目的　寻找一种颈前路手术治疗脊髓型颈椎病新的理想方法。方法　采用颈前路同一切口一次完成切骨取骨、脊髓减压及原位植骨三个手术步骤 ,自 1990年 5月以来治疗脊髓型颈椎病人共 5 6例。结果　资料完整的 40例获得随访 ,优良率为87 5 % ,植骨块全部骨性融合 ,颈椎稳定性好。结论　本方法具有脊髓减压彻底 ,植骨融合牢固 ,手术操作简便 ,病人痛苦小等优点 ,对具有颈前路手术指征的脊髓型颈椎病人 ,是一种可供选择的理想方法。Objective To look for a new idea operative technique for the treatment of cervical spodylotic myelopathy Methods Fifty-six patients with cervical spondylotic myelopathy were treated with anterior multisegmental decompression and bone grafting in situ since May of 1990 Results The follow-up of 40 patients had shown an excellent and good rate of 87 5% The grafted bone was completely fused with the host vertebrae and the stability of cervical spine was very good Conclusion This technique was the ideal choice of treatment for cervical spondylotic myelopathy whenever an anterior decompression was indicated The bone graft harvesting,decompression and bone grafting in situ could be simultaneously performed in one incision The advantages of this technique included sufficient decompression,high rate of fusion,simpler procedure and less trauma to the patient

关 键 词：脊髓型颈椎病 前路减压 颈椎融合 原位植骨 

分 类 号：R681.550.5[医药卫生—骨科学]