后路手术内固定融合治疗神经纤维瘤病致颈椎畸形15例
摘要
目的：探讨后路手术内固定融合治疗神经纤维瘤病引起颈椎畸形及疗效。方法：对神经纤维瘤病引起颈椎畸形行钉棒系统后路内固定植骨融合手术治疗的15例患者临床资料进行回顾性分析，术后随访时间1．2～7．5（平均3.5）年，观察疗效（截瘫恢复、后凸畸形的矫正和植骨融合）。结果：15例患者术前均有瘫痪症状，术后按照JOA评分标准，瘫痪症状完全改善的有10例，部分改善的有3例，治愈率66．67％，好转率20％，合计恢复率86．67％。术后后凸畸形平均矫正（47．1±5．80）°。发现后凸角度平均丢失（4．7±1．40）°。植骨不融合、假关节形成2例，余均融合。结论：钉棒系统后路手术内固定植骨融合治疗神经纤维瘤病引起颈椎畸形，可以恢复颈椎的即刻稳定性，促进瘫痪恢复和防止瘫痪复发加重，矫正及预防后凸略形。
出处
《中国医师杂志》
CAS
2007年第6期782-783,共2页
Journal of Chinese Physician
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