ARCH钛板应用于颈椎后路单开门椎管扩大成形术的近期疗效  

Short-term efficacy of ARCH titanium plate in the cervical posterior unilateral open-door ex-pansive laminoplasty on cervical spondylosis

作　　者：赵志彩[1] 王东亮[1] 李健[1] 马学忠[1] 刘兴华[1] 王剑[1] 孙新立[1] ZHAO Zhi-cai WANG Dong-liang LI Jian MA Xue-zhong LIU Xing-hua WANG Jian SUN Xin-li(Dept of Orthopaedics, the First Hospital of Fangshan District of Belting Manicipality, Belling 102400, China)

机构地区：[1]北京市房山区第一医院骨科,北京102400

出　　处：《临床骨科杂志》2017年第5期517-519,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨ARCH钛板应用于颈椎后路单开门椎管扩大成形术治疗颈椎疾病的近期疗效。方法应用ARCH钛板行颈椎后路单开门椎管扩大成形术治疗15例颈椎疾病患者,观察术后神经功能改善情况及颈椎轴性症状,并进行JOA评分。结果患者均获得随访,时间6~18个月。患者术后神经功能明显改善,JOA评分由术前(8.6±2.3)分提高到末次随访时(14.0±3.1)分,平均改善率68.2%±13.5%。2例术后发生颈部轴性症状,VAS评分分别为3分和2分。患者骨性愈合时间3~5个月,随访期间未见内固定物松动、椎板塌陷和再关门现象。患者均未出现颈椎后凸畸形。结论应用ARCH钛板固定行颈椎后路单开门椎管扩大成形术治疗颈椎疾病操作简单,固定牢靠,有效降低相应并发症,可获得近期满意疗效。Objective To investigate the short-trem efficacy of ARCH titanium plate in the cervical posterior unilater- al open-door expansive laminoplasty on cervical spondylosis. Methods The 15 patients with cervical spondylosis who underwent the posterior cervical spinal single open-door laminoplasty with ARCH plate. The patients were evaluated by the changes of JOA score and the severity of neck axial pain before and after surgery. Results All patients com- pleted follow-up. Time ranged from 6 months to 18 months. JOA score were improved from （8.6 ±2. 3）points preop- eratively to （ 14. 0 ± 3.1 ） points at last follow-up, and the mean improvement rate of JOA scoring was 68.2% ± 13.5%, neck axial pain occurred in 2 cases, and the VAS was 3, 2 points respectively. All patients got bony union on the axial side of the door at 3 - 5 months postoperation, without internal fixation loosening,lamina collapse, the door reclosure and cervical kyphosis. Conclusions Using ARCH titanium plate fixation for treatment of cervical spondylo- sis via cervical posterior unilateral open-door expansive laminoplasty is a simple method, which can provide stable fix- ation, effectively reduce corresponding complications, and obtain good short-term efficacy.

关 键 词：颈椎管狭窄 后纵韧带骨化 脊髓型颈椎病 单开门椎管扩大成形术 ARCH钛板 

分 类 号：R681.5[医药卫生—骨科学] R687.3[医药卫生—外科学]