前后路联合手术治疗重度脊髓型颈椎病80例临床研究  

Clinical Research of 80 Cases with Combined Posterior and Anterior Operation Treatment for Severe Cervical Spondylotic Mye-lopathy

作　　者：刘建辉[1] 王正雷[1] 张杰[2] 张文进[1] 齐琦[1] 

机构地区：[1]中国人民解放军第211 医院骨二科,黑龙江哈尔滨150080 [2]黑龙江中医药大学附属第二医院骨二科,黑龙江哈尔滨150000

出　　处：《黑龙江医学》2014年第3期244-245,共2页Heilongjiang Medical Journal

摘　　要：目的 探讨采用前后路联合手术治疗重度脊髓型颈椎病的临床研究.方法 采用颈椎前路脊髓减压取髂骨植骨钢板螺钉内固定合并颈后路单开门椎管扩大成形脊髓减压钢板螺钉内固定的术式治疗重度脊髓型颈椎病80例.手术疗效采用日本矫形外科学会标准评分.结果 术后随访12～24个月,术后平均提高4～7分,65例患者四肢麻木消失,束带感基本消失.结论 Ⅰ期前后路联合手术治疗重度脊髓型颈椎病,解除了来自前后方对脊髓的压迫,彻底减压,脊髓血供可得到提高和改善,有利于脊髓神经功能恢复,而且患者治疗周期短,疗效可靠,复发率低.Objective To explore the clinical research of 80 cases with combined anterior and posterior operation treatment for severe cervical spondylotie myelopathy. Methods Treating severe cervical spondylotic myelopathy patients with the anterior cervical spinal cord decompression bone grafting and internal fixation with plate and screw combined with posterior single open - door laminoplasty of cervical lateral mass plate screw internal fixation. Operation curative effect was evaluated through the Japanese Orthopaedic Association （JOA） standard score. Results The patients were followed up for 12 ~ 24 months, with mean postoperative improvement of 4 ~ 7 scores. 65 pa- tients with limb numbness disappeared. Conclusion Stage I anterior - posterior operation for severe cervical relieves the front and rear of the spinal cord compression, and completes decompression. Spinal cord blood supply can be improved, in favor of spinal nerve function re- covery. Treatment cycle of patients has been shortened with reliable effect and tow recurrence rate.

关 键 词：脊髓型颈椎病 颈椎前路脊髓减压取髂骨植骨钢板螺钉内固定术 颈椎后路单开门椎管扩大成形脊髓减压钢板螺钉内固定术 

分 类 号：R687.3[医药卫生—骨科学]