前路减压内固定结合中药治疗脊髓型颈椎病

Titanium Mesh Graft with Anterior Plate Fixation in Anterior Cervical Vertebrectomy Combined with Chinese Drugs in Treatment of Cervical Myelopathy

目的探讨应用颈前路椎体次全切钛网植骨钢板内固定结合中药治疗相邻二节段脊髓型颈椎病的临床效果。方法回顾性分析47例采取颈前路椎体次全切钛网植骨钢板内固定脊髓型颈椎病患者资料。对照组行手术治疗,治疗组术后结合中药治疗,观察并比较其近期疗效。结果所有患者均随访6-24个月。术后椎间高度及生理曲度维持良好。按JOA评分术前及随访时改善率评定疗效,术后6月,治疗组临床疗效均明显高于对照组(P<0.05)。结论应用颈前路椎体次全切钛网植骨钢板内固定、结合中药治疗脊髓型颈椎病,减压彻底、术后恢复理想、疗效满意。

Objective To study the clinical application of titanium mesh graft with anterior plate fixation in anterior cervical vertebrectomy combining with Chinese drugs in treatment of two adjacent segments of cervical myelopathy. Methods 47 cases using operative therapy were retrospectively analyzed,the control group gave surgical treatment and the treatment group added Chinese drugs,then the short- term efficacy was observed and compared. Results All the cases were followed up for 6 to 24 months. The postoperative recovery of the intervertebral height and lordosis maintain good. According to postoperative JOA score and follow- up of improvement rate,after 6 months,the clinical efficacy of treatment group were significantly higher than the control group（ P 0. 05）. Conclusion The method has advantages of decreasing intracranial pressure and better postoperative recovery and satisfactory results in treating two adjacent segments of cervical myelopathy.