摘要
目的:分析不同颈前路手术对多节段颈椎病的治疗效果。方法:选择47例患者手术前后情况进行回顾。第1组7例为单一平面颈前路椎间盘切除植骨融合术患者,第2组26例为多平面颈前路椎间盘切除植骨融合术患者,第3组14例为颈椎次全椎体切除术患者。采用日本矫形外科学会(JOA)评分标准评价术后随访结果。结果:第2、3组手术效果好于第1组,但并发症发生率也较第1组高。第2、3组间手术效果无显著差别,第3组术后并发症发生率最高。结论:对于多节段颈椎病,多平面颈前路减压植骨融合结合颈椎次全椎体切除术是一种直接有效的手术,而次全椎体切除术更适用于伴有颈椎后纵韧带骨化患者。
Objective: To analyze the efficacy in the treatment patients with multisegmental cervical spondylosis by different anterior cervical surgical strategy. Methods: A retrospective review of 47 patients who had undergone anterior cervical decompression and fusion was performed. Group Ⅰ consisted of 7 consecutive patients treated with singlelevel anterior cervical discectomy and autograft fusion. Group Ⅱ consisted of 26 consecutive patients treated with multilevel anterior cervical discectomy and autograft fusion. Group Ⅲ consisted of 14 consecutive patients treated with subtotal vertebrectomy and fusion. The Japanese Orthopaedic Association (JOA) classification was used to assess the followup results. Results: The operative results of Group Ⅱ and Group Ⅲ were better than that of Group Ⅰ. There were not significant differences between effects of Group Ⅱ and Group Ⅲ, although the overall operative complication rate of Group Ⅲ was the highest, whereas that of Group Ⅰ was the lowest. Conclusion: Multilevel anterior cervical decompression and fusion by a combination of subtotal vertebrectomy for multisegmental cervical spondylosis are a straightforward procedure. The subtotal vertebrectomy is more proper for multisegmental cervical spondylosis with ossification of the posterior longitudinal ligament.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1997年第6期513-515,共3页
Academic Journal of Second Military Medical University
基金
上海市医学领先专业重点学科基金
关键词
颈椎病
前路减压
椎体融合术
外科手术
cervical vertebrae diseases
anterior decompression
interbody fusion