颈前路椎间盘切除减压融合术治疗交感型颈椎病  

Anterior cervical discectomy with fusion for the treatment of cervical spondylosis accompanied by sympathetic symptoms

作　　者：孟阳[1] 张琰[1] 沈彬[1] 吴德升[1] 赵卫东[1] 黄宇峰[1] 张振[1] 于彬[1] 

机构地区：[1]同济大学附属东方医院脊柱外科,上海200120

出　　处：《颈腰痛杂志》2013年第3期210-213,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的总结和分析颈前路椎间盘切除减压融合术（ACDF）治疗交感型颈椎病的疗效。方法2003-01-2011-09共收治经保守治疗无效或症状反复发作的交感型颈椎病患者64例,均行ACDF术治疗。采用JOA17分法和交感神经症状20分法评估脊髓神经功能和交感神经症状的改善情况。结果所有患者均获得随访,随访时间为15~58月,平均35.3月。末次随访、术后1周JOA评分和交感神经症状评分与术前比较差异均有统计学意义（P〈0.05）。脊髓神经功能和交感神经症状改善的优良率分别为89.1%和84.4%。结论对于保守治疗无效或症状反复发作的交感型颈椎病患者,颈前路椎间盘切除减压融合术可获满意疗效。Objective To investigate clinical results of anterior cervical discectomy with fusion （ACDF） in treating cervical spondylosis accompanied by sympathetic symptoms. Methods A total of 64 patients who had serious sympathetic symptoms and failed to the conservative treatment underwent ACDF in Jan 2003 through Sep 2011. Neurologic status and sympathetic symptoms were evaluated by Japanese Orthopedic Association （JOA） 17-point scoring system and sympathetic symptoms 20-point scoring system respectively. Results All patients were followed up for 15 to 58 months,with a mean of 35.3 months. Significant difference was detected regarding JOA scores and sympathetic symptoms scores before surgery and one week after surgery or the final follow-up（P〈0.05）. The excellence rate of improving neurologic status and the excellence rate of improving sympathetic symptoms was 89.1% and 84.4% respectively. Conclusion Patients with serious sympathetic symptom or invalid conservative treatment can be successfully managed by the anterior cervical discec- tomy with fusion.

关 键 词：颈椎病 交感神经症状 椎间盘切除术 融合 

分 类 号：R681.55[医药卫生—骨科学]