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脊髓型颈椎病的手术治疗 被引量:7

Surgical Treatment of the Cervical Spondylotic Myelopathy
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摘要 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.
作者 郭文广
出处 《包头医学院学报》 CAS 2009年第1期44-45,共2页 Journal of Baotou Medical College
关键词 脊髓型颈椎病 前路手术 人工椎间盘 植骨 Cervical spondylotic myelopathy Anterior approach Cage Surgical treatment Translating bone
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