颈椎过伸伤伴颈椎管狭窄症的早期后路手术治疗  

APPLICATION OF EARLY POSTERIOR SURGICAL IN CERVICAL HYPEREXTENSION INJURY ASSOCIATED WITH CERVICAL SPINAL CANAL STENOSIS

作　　者：甘琨生[1] 荣绍远[1] 王现海[1] 孙林[2] 

机构地区：[1]北京市昌平区医院,100096 [2]北京积水潭医院创伤骨科

出　　处：《中国煤炭工业医学杂志》2014年第7期1064-1066,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的分析早期后路手术用于治疗颈椎过伸伤伴颈椎管狭窄症的疗效。方法选择颈椎过伸伤伴颈椎管狭窄症患者36例，术前行X线、MRI以及CT检查，并以早期后路手术进行治疗。结果术后30例患者神经功能为I～Ⅱ级，患者临床评分明显改善，一次骨融合率为97．2％（35／36）；并发症发生率为13．7％。结论对颈椎过伸伤伴颈椎管狭窄症患者实施早期后路手术治疗，疗效显著，且并发症少，可显著改善患者的神经功能，值得推广应用。Objective To analyze the value of early posterior surgery for the treatment of cervical hyperex- tension injury associated with cervical stenosis. Methods Thirty- six patients with cervical hyperextension injury associated with cervical spinal canal stenosis were selected, X- ray, MRI and CT examination were made preoperative, the treatment of early posterior surgery were used. Results After surgery, nerve func- tion of 30 .patients was reached to grade I - Ⅱ , whose clinical score was significantly improved, a bone fusion rate was 97.2% （35/36}, complication rate was 13.7%. Conclusion Cervical hyperextension injury associate with cervical spinal stenosis after the early posterior surgery treatment have significant effect and fewer complications, it can improve the patient＇s neurological function significantly, it is worthy of widely application in clinic.

关 键 词：椎板切除术 颈椎过伸伤 颈椎管狭窄 内固定 后路手术 

分 类 号：R681.5[医药卫生—骨科学]