探讨后路颈椎管内肿瘤切除术对颈椎稳定性的影响及相关因素

To Investigate the Effects of Cervical Posterior Resection of Cervical Cancer and Related Factors of Stability

目的对后路颈椎管内肿瘤切除术对颈椎稳定性的影响进行分析探讨。方法抽取在2009年1月至2013年12月间我院收治的临床确诊颈椎椎管内肿瘤32例,将其按照手术方式分成后方经双侧椎板切除入路组和经半椎板切除入路组,分别定义为甲组和乙组。结果经术后随访发现,甲组患者颈椎不稳定发生率较乙组发生显著升高(P<0.05)。结论常规后路椎板切除与半椎板切除两种手术方式均会对颈椎生物力学改变产生影响,临床应对其给予重视。

Objective To the posterior cervical spine canal tumor resection to analyze the effect on the stability of the cervical spine. Methods From January 2009 to December 2013 our hospital the clinical diagnosis of 32 cases of cervical spinal canal tumor, it shall, in accordance with the operation method is divided into the rear by bilateral vertebral lamina resection in the group and the half lamina resection in the group, defined as A and B, respectively. Results After postoperative follow-up found group A patients with cervical spine instability division was significantly higher than the incidence of group B （P〈0.05）. Conclusion Conventional posterior vertebral lamina excision and half lamina excision surgery way all affect cervical spine biomechanics changes, clinical response to its attention.