前路减压自体髂骨植骨联合锁定钢板治疗脊髓型颈椎病

Combination of anterior cervical decompression and autologous transplantation ilium and locking plating for the Treatment of cervical spondylotic myelopathy

目的探讨前路减压自体髂骨植骨联合锁定钢板治疗脊髓型颈椎病的临床疗效。方法37例脊髓型颈椎病患者行颈椎前路开槽减压自体髂骨植骨+锁定钢板内固定术,比较术前、术后的JOA评分及平均椎间高度的变化。结果患者术后3个月、末次随访时JOA评分与术前比较差异有统计学意义(P<0.05)。术后1个月与末次随访时的平均椎体高度之间差异无统计学意义(P>0.05)。所有病例椎间植骨均融合。17.2%患者术后出现取骨区并发症。结论前路减压自体髂骨植骨联合锁定钢板治疗脊髓型颈椎病疗效可靠,安全性高。

Objective To explore clinical efficacy of anterior cervical decompression and autologous transplantation ilium and locking plating for the treatment of cervical spondylotic myelopathy （CSM）. Methods 37 patients with CSM were fixed with locking plate after Robinsion bone graft. Preoperative and postoperative JOA score and the average change in intervertebral height were compared. Results The JOA score at 3 months and in the last following - up after operation improved compared with that before operation （ P 〈 0.05 ）. There was no significant difference in vertebral body height between 1 month and in the last following - up after operation. All patients achieved a stable bony fusion postoperatively, without implant break or loosening. 17.2% patients had complications of anterior iliac crest bone harvested in spine surgery. Conclusion The method of decompression and fusion with bone - graft plus locking plate internal fixation for CSM was reliable efficacy and high security.