颈前路减压植骨融合内固定术治疗长节段脊髓型颈椎病

Anterior cervical decompression bone graft confluence internal fixation in treating merus cervical spondylotic myelopathy

目的:探寻既简单安全,又经济有效治疗长阶段脊髓型颈椎病的治疗方法。方法:通过对2008年2月～2011年2月27例长阶段脊髓型颈椎病采取颈前路减压植骨融合内固定手术后疗效分析,探讨治疗长阶段脊髓型颈椎病的最佳治疗方案。结果:所有病人均获得12～24个月随访,平均15.5个月。术后12月随访JOA评分为7～15分,平均10.7±2.3分,与术前JOA评分分值行配对资料t检验有显著性差异。分类评估:优15例,良8例,可3例,差1例,优良率为:85.18%。结论:颈前路减压植骨融合内固定术治疗长阶段脊髓型颈椎病操作简单、安全,能有效解除脊髓压迫,重建颈椎稳定性,促进病情康复及减少并发症的发生。

Objective： To investigate the simple, safe, economic and effective treatment of cervical spondylotic myelopathy. Methods： 27 cases of chronic cervical spondylotic myelopathy collected from February 2008 to February 2011 were treated with anterior cervical decompression bone graft confluence internal fixation. Results： All the patients were follow-up visited for 12-24 months, 15.5 months on average. The efficacies of 15 cases were excellent, 8 cases were good, 3 cases were effective, 1 case was ineffective. The total effective rate was 85.18%. Conclusion： Anterior cervical decompression bone graft confluence internal fixation was simple and sage in operation, effective in relieving spinal compression.