脊髓型颈椎病人工椎间盘置换术后肢体功能康复训练治疗42例分析

Effect of Rehabilitation Exercises on Limb Function of Patients with Cervical Spondylotic Myelopathy after Artificial Intervertebral Disc Replacement:42 Cases Report

目的观察脊髓型颈椎病人工椎间盘置换术后肢体功能康复训练的效果。方法42例行前路显微镜下手术减压后椎间植Bryan人工椎间盘术患者随机分为常规护理组(20例)和功能康复训练组(22例),于术后2周及6个月分别对两组患者进行JOA评分。结果两组患者术后6个月的JOA评分均高于术后2周,但功能康复训练组的评分明显高于常规护理组(P<0.01)。结论脊髓型颈椎病患者人工椎间盘置换术后加强功能康复训练能有效恢复脊髓功能。

Objective To observe the effects of rehabilitation exercises on limb function of patients with cervical spondylotic myelopathy （CSM） after artificial intervertebral disc replacement. Methods 42 CSM patients undergone anterior cervical decompression and Bryan disc prosthesis under microscope were randomly divided into the normal care group （n= 20） and rehabilitation exercises group （n=22）. All patients of two groups were assessed by JOA scale at 2nd week and 6th month after operation. Results The JOA scores of two groups at 6th month were all higher than that at 2nd week and scores of the rehabilitation exercises group were also higher than that of the normal care group （ P〈0.01）. Conclusion Rehabilitation exercises after artificial intervertebral disc replacement can improve spine cord function of CSM patient.