Arch钛板在颈后路单开门椎管扩大成形治疗颈椎管狭窄症中的应用  

The use of cervical posterior single open-door laminoplasty with Arch titanium plate fixation for cervical spinal stenosis

作　　者：黄长智[1] 林泉[1] 袁燕林[2] 林久灶[1] 曾炜[1] 周长嵩[1] 陈挺霖[1] 方如务[1] 杨效宁[3] 

机构地区：[1]福建医科大学附属宁德市医院骨一科,福建宁德352100 [2]北京大学人民医院关节病诊疗研究中心,北京100044 [3]徐州市第一人民医院骨一科,江苏徐州221002

出　　处：《颈腰痛杂志》2015年第5期360-363,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨Arch钛板在颈后路单开门椎管扩大成形治疗颈椎管狭窄症的方法及临床疗效。方法对2010-11-2013-11间20例颈椎管狭窄症患者行颈后路单开门椎管扩大成形Arch钛板内固定术。男12例，女8例；年龄40～80岁，平均65岁；病程3-28个月，平均8．5个月。结果术后6个月摄颈椎X线及CT检查所有患者门轴侧椎板均已骨『生融合，无“再关门”现象，未发现内固定物松动、移位、断裂等现象，无脊髓损伤、血肿等并发症。所有患者神经功能恢复良好。结论颈后路单开门椎管扩大成形Arch钛板内固定术治疗颈椎管狭窄症初期疗效满意，是一种切实可行的方法。Objective To explore the way and therapeutic effect of cervical posterior single open-door laminoplasty with Arch titanium plate fixation in the treatment of cervical spinal stenosis. Methods From November 2010 to November 2013, cervical posterior single open-door laminoplasty with Arch titanium plate fixation was performed in 20 cases with cervical spinal stenosis, which in- cluded 12 males and 8 females with average of 65 years （40~80 years） and average disease course of 8.5 months （3-28 months）. Results 6 months after operation, all patients received X ray and CT examination, all door shaft side lamina had bony fusion, no＂shutdown＂ phenomenon, without the phe- nomenons such as internal fixation loosening or displacement or fractures. There were no complica- tions such as spinal cord injury or hematoma. All patients＂ nervous function recovered well. Conclu- sion The early curative effect of cervical posterior single open-door laminoplasty with Arch titanium plate fixation in the treatment of cervical spinal stenosis is satisfied, it is a feasible method.

关 键 词：颈椎管狭窄症 单开门椎管扩大成形术 Arch钛板 内固定 

分 类 号：R681.55[医药卫生—骨科学]