颈后路微型钛板配合中药治疗多节段脊髓型颈椎病

Observation of Cervical Posterior Miniature Titanium Plates with Chinese Medicine in Treating More Segmental Degenerative Cervical Stenosis

目的:评价单开门颈椎管扩大减压椎管成型微型钢板固定术治疗多节段脊髓型颈椎病的临床效果。方法:对62例多节段脊髓型颈椎病患者行单开门颈椎管扩大椎板成形术,于开门侧行微型钛板固定于棘突根部及侧块,根据术前、术后、随访时颈椎SCT片,观察扩大椎管直径变化,48例患者随访0.5-3.0a,平均1.25a,以JOA评分评价神经功能改善情况。结果:术前JOA评分平均9.3,随访时JOA评分平均15.6,其中优39例(81.2%),良7例(14.5%),可2例(4.3%)。术后SCT示,椎管直径扩大3.5-7.0mm,平均5.2mm,无再关门现象,脊髓受压解除。结论:颈椎后路单开门椎管扩大减压椎板成型微钛板固定术是治疗多节段脊髓型颈椎病安全有效的手术方法,椎管扩大稳定持久,效果显著。

Objective：To evaluate the clinical effects of enlargement of the single door cervical vertebra molding pressure plate fixation treatment more micro cer section.Methods：62 cases more segmental spondylotic myelopathy line cervical vertebrae tube expanding single door to door side laminoplasty,do miniature titanium plate fixation in roots and lateral spine,preoperative and postoperative followup,while expanding,cervical vertebra diameter by SCT observation,48 patients were done 36 months followup,average 15 months,with neurologic evaluation JOA rating.Results：The average worker,preoperative JOA rating score average were 15.6 JOA during followup,39 cases（81.2%） optimization 7 cases（14.5%）,2 cases effective（4.3%）,postoperative SCTshows 3.5-7.0 mm diameter expanding average 5.2 mm,no closed discitis phenomenon,the pressure of vertebra remove.Conclusion：Cervical posterior spinal canal decompression,expanding opening sheet forming micro titanium plates vertebral plate fixation is more segmental were safe and efficient operation,stable,durable decreased significantly enlarge effect.