后正中开门加植骨固定术治疗颈椎椎管狭窄症

Treatment of cervical spinal stenosis with posterior middle expansive laminoplasty and bone graft fixation

目的 选择一种后路手术治疗椎管狭窄症较理想的方法。方法 采用不切除棘突 ,用线锯从后正中线锯开棘突、椎板及黄韧带 ,扩大椎管 ,锯开的棘突间植入骨块并加以固定 ,治疗颈椎管狭窄 9例。结果 JOA评分平均改善率达 88% ,并且无明显手术并发症 ,植骨融合良好。结论 线锯后正中开门加植骨固定术治疗椎管狭窄症是一种方法简便 ,减压彻底 。

Objective To develop an effective way of posterior middle expansive laminoplasty for cervical spinal stenosis. Methods The spinal processes, laminae and yellow ligament were opened with wire saw, the spinal canal was expanded and bone graft were performed in the middle space. 9 cases were treated in this protocal. Results The JOA score improvement rate was 88%. No severe complication was found. The bone graft fused well. Conclusion It is a simple, completely decompresssive way to treat cervical spinal stenosis with posterior middle expansive laminoplasty with wire saw and bone graft.