颈前路减压植骨融合带锁钛板内固定对治疗无骨折脱位型颈脊髓损伤临床效果分析  

The analysis of clinical effects of anterior cervical decompression and fusion with compound titanium rete fixation for treatment of cervical spinal cord injuries without fracture and dislocation

作　　者：刘国铭[1] 陈祖星[1] 张昌茂[1] 

机构地区：[1]福建省立医院骨二科,福州350001

出　　处：《创伤与急诊电子杂志》2015年第1期22-24,共3页Journal of Trauma and Emergency(Electronic Version)

摘　　要：目的探究颈前路减压植骨融合带锁钛板内固定对无骨折脱位型颈脊髓损伤进行治疗的临床效果。方法选自本组2010～2014年收治的无骨折脱位型患者共28例,对其临床资料以回顾性方法进行分析,患者累及2个椎体节段以下无骨折脱位型颈脊髓损伤,对其进行颈前路减压植骨融合带锁钛板内固定方法进行治疗,将术前、术后的JOA评分进行比较,归纳颈前路减压植骨融合带锁钛板内固定的临床效果。结果所有患者均顺利完成手术,对其进行平均30个月的随访,28例患者经手术治疗后脊髓功能均有不同程度恢复,按JOA评分,术前平均5.58分,术后平均11.46分术后症状改善率为51.5%。结论对累及2个椎体节段以下无骨折脱位型颈脊髓损伤患者应用颈前路减压植骨融合带锁钛板内固定方法进行治疗,能够收到良好的临床治疗效果,较好的改善脊髓功能,提高患者的生活质量。Objective To explore the clinical effects of anterior cervical decompression and fusion with compound titanium rete fixation for the treatment of cervical spinal cord injuries without fracture and dislocation. Method Clinical data of 28 cases of cervical spinal cord injury without fracture and dislocation below two vertebral segments from 2010 to 2014 in our hospital were selected and evaluated retrospectively. All the patients received anterior cervical decompression and fusion with compound titanium rete fixation. After that, preoperative JOA scores were compared with postoperative ones to summarize the clinical effect of this treatment. Result All of the operations were successful and the postoperative follow-ups（a mean period of 30 months） for the 28 surgical treatments showed that the spinal cord function had been improved significantly. According to the JOA score, the preoperative average point was 5.58;the postoperative point was 11.46; the recovery rate was 51.5%. Conclusion It is proved that anterior cervical decompression and fusion with compound titanium rete fixation for the treatment of cervical spinal cord injuries without fracture and dislocation below two vertebral segments can receive good clinical results as well as improve the spinal cord function and the quality of life of patients.

关 键 词：无骨折脱位 颈脊髓损伤 颈前路 手术治疗 

分 类 号：R651.2[医药卫生—外科学]