颈前路减压植骨钢板融合内固定术治疗15例脊髓型颈椎病疗效分析

Anterior cervical decompression and implant bone fusion with plate internal fixation for cervical spondylotic myelopathy of 15 cases

目的:探讨脊髓型颈椎病颈前路的手术治疗方法及疗效分析。方法:对15例脊髓型颈椎病患者行自体髂骨植入结合颈前路带锁钢板固定术。术后随访观察颈椎X线片、自我感觉、临床功能评价、神经功能恢复情况。结果:15例患者全部获得随访,随访时间6～12个月(平均10个月)。手术后恢复满意,患者生活基本自理。神经功能改善依据JOA评定标准,优12例,良3例;JOA评分由术前(9.52±1.22)分上升至术后的(14.83±1.25)分。结论:应用自体髂骨植入颈前路带锁钢板内固定术治疗脊髓型颈椎病,具有支撑稳定手术椎体节段和诱导成骨的优点,术后颈椎即时稳定性好,椎间融合率高。

Objective：To explore the effect of surgical treatment of cervical spondylotic myelopathy through anterior decompression and internal fixation and evaluate the therapeutic effects.Methods：15 cases of cervical spondylotic myelopathy were treated with self-ilium orbital implant combined with cervical anterior internal fixation with anterior locking cervical plate.X ray,self-sensation,clicial functional evaluation,functional recovery of nerve were evaluated during follow - up postoperatively. Results：All the 63 patients were followed up,the follow up time was 6～12 months（10months average）,the postoperative treating effects were satisfactory and the patients could be basically self-cared.JOA creteria was used to evaluate the functional recovery of nerve：excellent in 12 cases,good in 3 cases.JOA score improved from（9.52±1.22） preoperatively to （14.83±1.25） postoperatively.Conclusion：Treatment of cervical anterior decompression,self-ilium orbital implant combined with cervical anterior internal fixation with anterior locking cervical plate has the function of supporting and stablizing the vertebra segments being operated,inducing the osteogenesis.The instant stiffness of cervical vertebra is good and intervertebral fusion rate is high.