| 余勤武,曾义高,陈先州,等.颈前路减压融合内固定治疗三节段及以下脊髓型颈椎病.骨科,2014,5(3): 172-175. |
| 颈前路减压融合内固定治疗三节段及以下脊髓型颈椎病 |
| Anterior cervical decompression and fusion in treating cervical spondylotic myelopathy below third section |
| 投稿时间：2014-05-27 |
| DOI：10.3969/j.issn.1674-8573.2014.03.013 |
| 中文关键词: 颈椎病 脊髓 减压术，外科 骨折固定术，内 |
| 英文关键词: Cervical spondylosis Spinal cord Decompression, surgical Fracture fixation, internal |
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| 中文摘要: |
| 目的 评估前路减压融合手术治疗三节段及以下脊髓型颈椎病（cervical spondylotic myelopathy，CSM）的临床效果。方法 回顾性分析2008年1月至2013年12月于我院行前路减压融合内固定治疗的三节段及以下CSM患者83例。比较术前、术后3个月以及末次随访时的日本骨科协会（Japanese Orthopaedic Association，JOA）评估治疗分数以评估其恢复情况，比较术后3个月与末次随访时的改善率；通过末次随访时颈椎动力位片观察植骨后融合情况。结果 随访时间7.0~60.0个月，平均40.6个月，所有患者均未出现严重并发症。JOA评分及改善率比较：术前（8.90±1.50）分，术后3个月（13.45±0.89）分，末次随访时（15.80±1.32）分，术后与术前的JOA评分差异有统计学意义（P<0.05），末次随访时与术后3个月的JOA评分差异有统计学意义（P<0.05）。术后3个月及末次随访改善率为（58.42±8.54）%和（70.32±9.53）%，两者之间差异有统计学意义（P<0.05）。末次随访时，所有病例融合节段均骨性融合。结论 颈前路减压融合固定治疗三节段及以下CSM疗效肯定，具有满意的临床治疗效果和较高的植骨融合率。 |
| 英文摘要: |
| Objective To evaluate the clinical outcome of anterior cervical decompression and fusion with internal fixation in treating cervical spondylotic myelopathy below the fourth section. Methods Eighty-three cases suffer from cervical spondylotic myelopathy below the fourth section were treated with anterior cervical decompression and fusion with internal fixation by titanium plate in our hospital from Jan. 2008 to Dec. 2013. The clinical outcomes were evaluated by the parameters including improvement of Japanese Orthopaedic Association (JOA) score postoperation, and improvement rate before operation, 3 months after operation and at the last follow-up. Results Eighty-three cases were followed up for 7.0 to 60.0 months (40.6 months on average). No serious complications occurred. JOA scores were increased from (8.90±1.50) pre-operatively to (13.45±0.89) post-operation and (15.80±1.32) at the final follow-up (P<0.05 for all). The improvement rate was (58.42±8.54)% at the 3rd month post-operation and (70.32±9.53 )% at the final follow-up (P<0.05). Bony fusion was verified by X-ray at the 3rd month post-operation and the final follow-up. Conclusion The clinical outcomes of anterior cervical decompression and fusion with internal fixation in treating cervical spondylotic myelopathy below the fourth section is affirmative, and it makes spinal canal decompression and neurologic symptoms ease and fusion rate increase. |
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