颈前路术后颈肩痛分析

Analysis of cervix and shoulder pain after anterior cervical operation

目的 :观察了颈前路植骨融合术后颈肩痛患者的临床表现 ,对其原因进行了分析。方法 :对28例因颈间盘突出症及颈椎病患者行“颈前路间盘和/或椎体次全切除取髂骨植骨融合术"后颈肩痛患者临床表现进行了分析 ,并行X -ray、CT及MRI等影像学检查 ,对其进行总结。结果 :本组病例经证实有植骨块移位、植骨块假关节形成、伴发肩周炎及单纯颈托外固定过紧所致。骨块移位及假关节形成者二次手术复位或切除假关节 ,追加植骨 ,钢板内固定 ,肩周炎及卡压所致者对症治疗 ,效果均十分满意。结论 :颈前路间盘和/或椎体次全切除取髂骨植骨融合术时应注意骨块大小、外固定松紧程度及合并症的早期诊断 。

Objective:The clinic of cervix and shoulder pain after anterior cervical operation has been observed,whose causes have been analysised.Methods:28 patients with cervix and shoulder pain were analyzed who had been operated on anterior operation of cervical intervertibral disc resection and/or vertebral body subtotal ectomy and implantation with iliac bone and analyzed their x-ray,CT,and MRI .Results:These patients' pain was caused by implanted bone shift,pseudarthrosis formation, supervention of scapulohumeral periarthritis and tenseness of extra-plastic-collar .The implanted bone shift and pseudarthrosis were operated again with reposition and excision,and implanted more bone,interior fixation with steel-board, expectant treatment with scapulthumeral periarthritis and tenseness of extra-plastic-collar were all satisfied .Conclusion:The anterior operation of cervical intervertibral disc resection and/or vertebral body subtotal ectomy and implantation with iliac bone are often applied to the patients with proplase of cervical intervertebral disc and cervical spondylopathy.Meanwhile, must pay attention to size of the implanted bone, the tenseness of extra-support and early diagnosis of complication. On the second time operation,it is the key to prevent cervix and shoulder pain after anterior cervical operation.