手术治疗外伤性颈段脊柱、脊髓损伤的临床观察  

Clinical Observation on Surgery in the Treatment of Traumatic Cervical Spinal Column and Spinal Cord Injury

作　　者：宋善新[1] 

机构地区：[1]鹤壁煤业集团总医院骨一科,458020

出　　处：《中国卫生标准管理》2015年第16期53-54,共2页China Health Standard Management

摘　　要：目的观察前路植骨钢板内固定法在外伤性颈椎间盘突出疾病治疗中的临床疗效。方法将31例外伤性颈椎间盘突出伴脊髓损伤的患者根据Franke功能分别分为A、B、C、D、E级,采取前路手术方法减压,观察并记录临床疗效。结果多数患者术后恢复1∽2个等级,平均随访（15±0.4）个月,未出现植骨不融合或钢板松动、断裂的现象。结论治疗外伤性颈椎间盘突出伴脊髓损伤最有效的手段是前路植骨钢板内固定法,减压效果显著,术后损伤脊柱、脊髓恢复效果良好。Objective To observe the clinical efficacy of anterior bone graft and plate fixation in treatment of traumatic cervical disc disease. Methods The 31 patients with traumatic cervical disc herniation with spinal cord injury were divided into A,B,C,D,E class function according to Franke,taking anterior surgical decompression,observed and recorded the clinical efficacy. Results Most patients recoverred after 1 to 2 grade,with an average follow-up of（15±0.4） months,the phenomenon of nonunion or steel loose or broken were not occurred. Conclusion The most effective means of treatment of traumatic cervical disc herniation with spinal cord injury is anterior bone graft and plate fixation,it has significant decompression effect,and good effect of postoperative spine injury and spinal cord recovery.

关 键 词：颈椎间盘突出 脊髓损伤 前路钢板内固定 

分 类 号：R651.2[医药卫生—外科学]