颈椎后路单开门结合钛板内固定治疗脊髓型颈椎病

Clinical observation of posterior cervical single door joint titanium plate fixation treatment for cervical myelopathy

目的探讨分析颈椎后路单开门结合钛板内固定治疗脊髓型颈椎病的临床疗效。方法回顾性分析2009年5月至2012年6月间在我院进行治疗的46例脊髓型颈椎病患者的临床记录资料。结果治疗后,治疗组的优良率为82.61%,高于对照组的52.17%,具有显著性差异(P<0.05);治疗组的JOA评分高于对照组,ROM、颈椎屈曲、后伸角度均低于对照组,均具有显著性差异(P<0.05)。结论颈椎后路单开门结合钛板内固定治疗脊髓型颈椎病的临床疗效显著,值得临床推广应用。

Objective：To investigate clinical effect of posterior cervical single door joint titanium plate fixation in treat-ment for cervical myelopathy. Methods：The clinical records of 46 patients with cervical myelopathy in our hospital from May 2009 to June 2012 were reviewed. Results：After treatment,the excellent rate of treatment group（ 82. 61% ）were sig-nificantly higher than that of the control group（52. 17% ）（P ﹤ 0. 05）. The JOA score of the treatment group was signifi-cantly higher than that of the control group and ROM,cervical flexion ,extension angles of the treatment group were lower than that of the control group（ P ﹤ 0. 05 ）. Conclusion：Clinical efficacy of posterior cervical single door joint titanium plate fixation in treatment for cervical myelopathy is remarkable and worthy of clinical application.