颈前路治疗多节段颈椎病的疗效分析

Curative Effect Analysis of Anterior Multilevel Cervical Spondylopathy Treatment

目的 分析颈椎前路治疗多节段颈椎病的临床效果. 方法 收集哈尔滨医科大学附属第四医院2012年7月~2013年7月病变累及3个以上椎间隙的颈椎病患者34例,并由同一术者行手术治疗,术式采用颈前路椎管减压、髓核摘除、椎体次全切、钛网内植骨、锁定钛板固定. 手术前后均对患者采用日本骨科协会颈椎病疗效评定标准（ JOA）进行评分. 观察患者手术前后JOA评分变化. 结果 34例患者手术均获得成功,术后未出现明显并发症. JOA评分由术前9.9 ±1.2分上升为术后13.6 ±1.3分,差异有统计学意义（P〈0.05）. 结论 颈椎前路治疗多节段颈椎病安全可行.

Objective To evaluate the clinical effects of anterior cervical multilevel cervical disease .Methods Collected 34 pa-tients of multilevel cervical myelopathy with 3 consecutive segments who were treated with the same surgeon for operation treatment in the Fourth Affiliated Hospital of Harbin Medical University from 2012 July to 2013 July.Operation by anterior cervical decompression , remov-al of nucleus pulposus , subtotal resection of vertebral body , bone grafting with titanium mesh , locking titanium plate fixation .Both before and after surgery for patients with cervical spondylosis Japanese Orthopaedic Association evaluation standard （ JOA） score.Observed in patients before and after surgery JOA score changes .Results Thirty four patients were all successful surgery , no obvious complications after operation.JOA score by preoperative （9.9 ±1.2） increased as the postoperative （13.6 ±1.3）,The difference was statistically sig-nificant（P〈0.05）.Conclusion Anterior multilevel cervical spondylosis treatment is feasible and safe .