脊髓型颈椎病的手术治疗

Surgical Treatment of the Cervical Spondylotic Myelopathy

目的:了解脊髓型颈椎病的颈椎前路手术治疗的适应证,掌握人工椎间盘或椎间融合器(Cage)的应用。方法:系统回顾2003年8月至2008年8月期间26例颈椎病的手术治疗,6例单纯植骨融合,19例置入Cage加植骨,1例有三节严重椎管狭窄者,同时施行前、后路颈椎手术,分析了不同手术方法的利弊。结果:在26例中,20例优,6例良。术后未发生感染、不愈合、颈椎僵硬及四肢瘫痪。结论:颈椎前路减压术是治疗严重脊髓型颈椎病的有效术式,部分伴有严重椎管狭窄者需要行后路减压术。尤其颈椎前路Cage置入加植骨术,操作简单、风险小、失血少。

Objective： To study the indications of surgical treatment of the cervical spondylotic myelopathy so as to master the skills of placing Cage. Methods ： the operations on 26 patients for cervical spondylotic myelopathy from august of 2003 to august of 2008 were retrospectively analyzed. One case was selected for anterior approach and posterior approach. 6 cases were anly placed into bone autograft, 20 cases were placed into cages and bone graft. Results： Of 26 cases, 6 cases acquired good result, 20 cases acquired excellent result. Conclusion： Anterior approach decompressing is an effective surgical method to cure serious cervical spondylotic myelopathy, with simple operation, less risk and little loss of blood.