摘要
目的探讨颈前路减压Zephir钢板内固定治疗脊髓型颈椎病的手术疗效及价值。方法采用颈前路减压,自体或钛笼植骨联合Zephir钢板内固定术治疗脊髓型颈椎病56例。按照日本矫形外科学会(JOA)评分标准评定患者术前术后神经功能状态。结果随访时间12-48个月,平均20.2个月。术前JOA评分平均(7.13±1.21)分,术后12个月时JOA评分平均(12.82±1.11)分,术前术后差异有统计学意义(P<0.05)。术后6个月植骨全部融合,无钢板断裂和螺钉松动及其他并发症。结论颈前路减压Zephir钢板内固定术是治疗脊髓型颈椎病变安全、有效的方法。
Objective To explore the clinical value of anterior decompression approach by using Zephir systems in treatment of cervical spondylotie myelopathy. Methods Fifty-six patients with cervical spondylotie myelopathy underwent anterior decompression, fusion and internal fixation with Zephir system. Neurological funetion was evaluated by JOA score, and then all results were compared statistically. Results All patients were followed up for 12 - 48 months, with the average of 20.2 months. JOA score after operation for 12 months was significantly higher than that before operation(12.82 ± 1.11 vs 7.13 ± 1.21, P 〈 0.05). All patients achieved a stable bony fusion in 6 months postoperatively, without implant break or loosening and other complications. Conclusion Anterior decompression, fusion and internal fixation with Zephir system can be a safe and effective method for cervical spondylotie myelopathy.
出处
《山西医科大学学报》
CAS
2008年第12期1139-1141,共3页
Journal of Shanxi Medical University
关键词
脊髓型颈椎病
减压
内固定
cervical spondylotic myelopathy
decompression
internal fixation