颈前路多节段减压原位植骨治疗脊髓型颈椎病

ANTERIOR MULTISEGMENTAL DECOMPRESSION AND BONE GRAFTING IN SITU FOR CERVICAL SPONDYLOTIC MYELOPATHY

采用自行设计的颈前路多节段减压原位植骨术治疗脊髓型颈椎病５６例，近期优良率６７．５％，有效率９７．５％，４０例随访１３～４５个月，优良率８７．５％，有效率９７．５％。该术式脊髓减压充分彻底，植骨融合率高，颈椎稳定性好；操作简便创伤小，避免了供骨区反应及后遗症。

From May of 1990 to Feb of 1994 the authors designed and adopted anterior multisegmental decompression and bone grafting in situ to treat cervical spondylotic myelopathy.Altogether 56 cases were treated with this new technique and 40 cases were followed up for 13 to 45 months(average 33 months).The results were satisfactory.It is demonstrated that the new method has the following advantages:sufficient decompression,high rate of fusion,good postoperative stability and alignment,simple and convenient procedures,very little pain,good shortterm and longterm effects and no need for bone donor.The technique is most suitable for patients with cervical spondylotic myelopathy who can be treated by anterior decompression.