颈椎椎弓裂及其外科治疗

Surgical treatment for spondyloschisis and spondylolithesis of the cervical spine

目的 :探讨颈椎椎弓裂及其滑脱的临床特点及手术治疗。方法 :回顾分析 8例颈椎椎弓裂病例 ,其中 4例伴有滑脱。除 1例无症状者行保守治疗外 ,7例行颈前路减压植骨融合术。结果 :临床症状全部改善 ,滑脱椎节得以复位 ,植骨在 3个月内获得牢固骨融合。结论 :颈椎椎弓裂患者如出现临床症状应考虑手术治疗 。

Objectives: To discuss the clinical characteristics and the surgical treatment of cervical spondyloschisis and spondylolisthesis. Methods: Retrospective analysis for eight cervical spondyloschisis,four of them were combined with spondylolisthesis.All cases were preformed anterior decompression and fusion except one without symptoms. Results: Clinical symptoms got improved after operation,spondyloschisis obtained reduction,bone graft got solid fusion in three months. Conclusions: Cervical spondyloschisis should be operated if the patients have clinical symptoms.Anterior decompression and fusion were the best choice for the operation.