脊髓型颈椎病后纵韧带切除减压的疗效观察  

Effects of posterior longitudinal ligament resection for cervical spondylotic myelopathy by the anterior cervical operation

作　　者：荣树 马兆钦 吴铮 陈国平 

机构地区：[1]曲靖市第一人民医院骨一科,云南曲靖655000

出　　处：《临床骨科杂志》2013年第6期611-613,共3页Journal of Clinical Orthopaedics

摘　　要：目的观察脊髓型颈椎病前路减压手术中后纵韧带切除的疗效。方法按治疗方法将41例行颈椎前路减压患者分为2组:后纵韧带切除者20例(切除组),未切除者21例(保留组),同时行前路钢板内固定融合,比较两种方式的疗效。结果 41例均获随访,时间13～32(18.0±1.6)个月。两组术前JOA评分、失血量、手术时间比较差异无统计学意义(P>0.05);JOA评分恢复率切除组76.2%±21.6%,保留组63.7%±21.3%,差异有统计学意义(P<0.05)。结论颈椎前路减压后行增生后纵韧带切除使病变节段减压更加彻底,有利于患者的神经功能恢复。Objective To observe the effect of posterior longitudinal ligament resection for cervical spondylotic myelopathy by anterior decompression. Methods 41 patients with anterior cervical decompression were divided into 2 groups, the resection of the posterior longitudinal ligament in 20 patients （resection group）, 21 patients without resection （ reserved group）. Results 41 patients were followed up for 13 - 32 （ 18.0 ± 1.6） months. Two groups of preoperative JOA score, blood losss and operation time were no significant difference （ P 〉 0. 05 ）. The spinal cord neurologic function recovery rate of posterior longitudinal ligament resection group were 74. 1% ± 21.6%. It was better than posterior longitudinal ligament reserve group 63.6% ± 19.3% （P 〈 0. 05 ）. Conclusions The complete decompression can be obtained by posterior longitudinal ligament resection. This technique is to the benefit of neural function recovery.

关 键 词：脊髓型颈椎病 前路减压 后纵韧带切除 

分 类 号：R681.5[医药卫生—骨科学] R687.3[医药卫生—外科学]