改良体位在颈椎前路手术中的临床应用

Clinical Application of Reforming Posture on Anterior Cervical Vertebrae Surgery

[目的]讨论改良体位颈椎前路入路在颈椎病治疗中的应用。[方法]回顾性分析50例脊髓型颈椎病选择改良体位颈椎前路患者术后的治疗效果。[结果]术后随访脊髓神经根功能改善率为78.4%,优良率达94%,骨性愈合率达100%。[结论]改良体位充分显露颈椎椎间隙,减少颈椎前路手术创伤,提高减压效果、缩短手术时间,促进骨性愈合。

[Objective] To analyze application of reforming posture to anterior cervical vertebrae surgery.[Methods]The results of 50 cervical myelopathy patients,who underwent anterior cervical decompression and applied of reforming posture,were retrospectively reviewed at a mean follow-up of 2.5 years (2~4 years).[Results]Patients were also evaluated pre-operatively and post-operatively using a modified version of the Japanese Orthopedics Association Scale(JOA).78.4% of patients showed improvement rate,90% of patients showed excellent-to-good results,and the fusion rates were 100%.[Conclusion]With reforming posture,the intervertebral space of cervical vertebra was thoroughly revealed,surgical trauma was reduced,and effectiveness was improved,the time was shortened and bone fusion was enhanced.