颈椎间盘突出症的手术治疗

SURGICAL TREATMENT OF CERVICAL INTERVERTEBRAL DISC HERNIATION

目的探讨不同类型颈椎间盘突出的手术治疗和效果。方法回顾性分析65例颈椎间盘突出,其中脊髓型53例,神经根型12例,均行前路开槽减压植骨融合术。结果脊髓型椎间盘突出术后症状和体征消失明显较神经根型颈椎间盘突出症术后效果好,脊髓型优良率92.45%,可、差类10例患者中,神经根型占50%。结论脊髓型椎间盘突出症患者出现症状和体征者,应积极行手术治疗,对于神经根型的行前路手术应慎重考虑。

Objective To explore the efficacy of surgical treatment for different types of cervical intervertebral disc herniation. Methods 65 patients with cervical intervertebral disc herniation were retrospectively analyzed; myelopathic type was seen in 53,radiculopathic type in 12, all patients were treated with anterior decompression and interbody fusion. Results The effect of postoperative symptoms and signs disappeared in patients with myelopathic type cervical intervertebral disc herniation was significantly better than that with radiculopathic type cervical intervertebral disc herniation, the excellent and good rate in myelopathic type was 92.45% , radiculopathic type was 50%, Conclusion The patients with myelopathic type cervical intervertebral disc herniation should receive surgical treatment when they appear symptoms and signs; for radiculopathic type patients, the surgical treatments should he chosen carefully and the anterior decompression and interbody fusion should be considered seriously.