多节段脊髓型颈椎病前后路术式的疗效比较

Comparison the effection of multi-segmental cervical myelopathy treated by anterior with posterior surgery

目的:比较颈前路减压、植骨内固定术和颈后路椎管扩大成形术治疗多节段脊髓颈椎病的疗效。方法:将39例多节段脊髓型颈椎病患者分为两组,其中A组21例采用颈前路减压、植骨内固定术,B组18例采用颈后路椎管扩大成形术。对39例多节段脊髓型颈椎病术后患者采用日本骨科学会(JOA)的颈椎病评定标准评分进行评定。结果:两组有效率均达到90%以上,但B组疗效略优于A组。结论:后路椎管成形术尤其适用于多节段脊髓型颈椎病合并颈椎椎管狭窄的患者。

Objective：To comparison the effection of the patients with multi-segmental cervical myeioparny treated by the anterior cervical decompression,bone grafting and internal fixation with posterior laminoplasty surgery. Methods：Thirty-nine patients with multi-segmental cervical myelopathy was divided into two group. Among this study,the 21 patients group A were performed the anterior cervical decompression,bone grafting and internal fixation surgery. The 18 patients group B were performed posterior laminoplasty surgery. The 39 patients with Multi-segmental cervical myelopathy were assessed with cervical disease evaluation criteria score drawed up by Japanese Orthopaedic Association（JOA）. Results：The patients of two groups were all improved. The efficient of the patients in this group were more than 90%. But the efficient of the patients in group B was higher than that of the patients group B. Conclusion：The posterior laminoplasty surgery is especially a little suitable for multi-segmental cervical myelopathy than the anterior cervical decompression,bone grafting and internal fixation surgery.