前路与后路减压内固定术对颈椎过伸性损伤患者的治疗效果  

Treatment Effects of Anterior and Posterior Decompression and Internal Fixation in Patients with Cervical Hyperextension Injury

作　　者：姬凌飞 Ji Lingfei(Department of Spinal Surgery,Lanling County People's Hospital,Linyi 277000,Shandong Province,China)

机构地区：[1]兰陵县人民医院脊柱外科,山东临沂277000

出　　处：《中国社区医师》2023年第15期18-20,共3页Chinese Community Doctors

摘　　要：目的:分析颈椎过伸性损伤患者采用前路与后路减压内固定术治疗的效果。方法:选取2020年10月—2022年1月兰陵县人民医院收治的86例颈椎过伸性损伤患者作为研究对象,采用随机摸球法分为观察组与对照组,各43例。对照组采用后路减压内固定术治疗,观察组采用前路减压内固定术治疗。对比两组临床疗效、颈椎功能、神经功能、Cobb角及前柱高度。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P=0.049)。术前,两组日本骨科协会评估治疗分数(JOA)、美国脊柱损伤协会脊髓损伤分级(ASIA)等级评分比较,差异无统计学意义(P>0.05);术后1个月,两组JOA、ASIA等级评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。术前,两组Cobb角、前柱高度比较,差异无统计学意义(P>0.05);术后1个月,两组Cobb角、前柱高度均大于术前,且观察组大于对照组,差异有统计学意义(P<0.05)。结论:相较于后路减压内固定术,前路减压内固定术治疗颈椎过伸性损伤患者的效果更好,可改善患者Cobb角及前柱高度,促进其颈椎功能、神经功能恢复。Objective:To analyze the effect of anterior and posterior decompression and internal fixation treatment in patients with cervical hyperextension injury.Methods:A total of 86 patients with cervical hyperextension injury admitted to Lanling County People's Hospital from October 2020 to January 2022 were selected as the study subjects.According to the random ball touch method,they were divided into observation group and control group with 43 cases in each group.The control group was treated with posterior decompression and internal fixation,and the observation group was treated with anterior decompression and internal fixation.Clinical efficacy,cervical spine function,nerve function,Cobb angle and anterior column height were compared between the two groups.Results:The overall effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.049).Before surgery,there was no significant difference between the two groups in the Japanese Orthopaedic Association(JOA)assessment treatment score and the American Spinal Injury Association(ASIA)grade score(P>0.05).At 1 month after surgery,the scores of JOA and ASIA grade score in the two groups were higher than those before surgery,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Before surgery,there was no significant difference between the two groups in the Cobb angle and anterior column height(P>0.05).At 1 month after surgery,the Cobb angle and anterior column height in the two groups were higher than those before surgery,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:Compared with posterior decompression and internal fixation,anterior decompression and internal fixation in the treatment of patients with cervical hyperextension injury can improve the Cobb angle and anterior column height,and promote the recovery of cervical spine function and ner

关 键 词：减压内固定术 颈椎过伸性损伤 颈椎功能 神经功能 

分 类 号：R687.3[医药卫生—骨科学]