前路减压融合内固定治疗神经根型颈椎病12例临床观察

目的:神经根型颈椎病(CSR)是颈椎病的一种,临床较为常见,发病率较高,本文的目的是探讨治疗神经根型颈椎的治疗措施和效果。方法:采用前路减压融合内固定治疗神经根型颈椎病患者12例,进行回顾性分析。结果:经过治疗后12例患者上肢疼痛或不适等症状均立刻缓解,根据JOA17分评分法评价手术效果。本组术前评分12～15分,平均13.5分;术后评分14～17分,平均15.6分,手术前后评分有明显差异(P<0.05)。术后所有患者均进行了随访,平均随访时间15.5个月,患者均良好,无复发病例发生。结论:前路手术治疗神经根型颈椎病疗效好,安全,可靠。

Objective：Cervical nerve root disease（cervical spondylotic radiculopathy,CSR）is a cervical spondylosis,clinical more common,the incidence rate was higher purpose of this paper is to explore the treatment of cervical radiculopathy and effects of treatment.Methods：Our hospital in January 2009-March 2010 the use of anterior decompression and fusion and internal fixation of 12 cases of nerve root type cervical spondylosis were reviewed retrospectively.Results：12 patients after treatment upper extremity pain or discomfort and other symptoms were immediately alleviated,according to JOA17 points score method to evaluate surgical results.The preoperative score 12 to 15 minutes,an average of 13.5 points;after the score 14-17 points,an average of 15.6 points,before and after surgery rates were significantly different（P〈0.05）.After all patients were followed for an average time of 15.5 months,patients were good,no recurrence occurred.Conclusion：Treatment of anterior cervical nerve root is effective,safe and reliable.