颈椎后纵韧带骨化的后路脊髓前外侧解压术

ANTEROLATERAL DEGOMPRESSION OF THE SPINALCORD FOR OSSIFICATION OF THE POSTERIOR LONGITUDINAL LIGAMENT OF THE CERVICAL SPINE

至今尚缺乏良好的手术方法以直接切除颈椎管前方的后纵韧带骨化组织。作者等在1988年设计后路脊髓前外侧解压术,于后路椎板成形后进一步在直视下切除后纵韧带骨化组织,最大限度解除脊髓和神经根的压迫。本文报道本术式的30例经验,详细介绍了手术方法及治疗结果。本组病例平均随访13.7个月,按殷华符疗效等级标准,优良率86.7%,有效率96.7%。本术式解压彻底,疗效好,手术比较安全。

An effective procedure for excising the ossified posterior longitudinal ligament ofthe cervical spine is not yet available.Since 1988,the authors has treated 30 caseswith the anterolateral approach to decompress the spinal cord.The ossified ligamentwas excised under direct vision.Follow-up(average 13.7 months)assesment revealedthat 96.7% of the patients were benefited and the result was excellent in 86.7%.Thestability of the cervical spine was not affected after the operation.