青年颈椎病患者前路手术疗效评价

Clinical Results of Anterior Cervical Surgery For Cervical Spondylosis in Young Patients

目的评价颈椎前路手术在青年颈椎病患者中的治疗效果。方法对我科于2011年5月至2014年5月间21例行颈椎前路手术治疗的青年颈椎病患者进行研究,根据JOA评分标准,对患者进行术前、术后1周和最后随访时的JOA评分进行统计学分析,评价神经功能改善情况。结果所有患者均获得随访,平均随访(18±1.64)个月,术前平均JOA评分(12.78±2.24)分,术后1周平均JOA评分为(15.11±1.37)分,随访时(15.83±0.92)分。术前与术后1周JOA评分、术后1周与随访时JOA评分比较均有统计学差异(P<0.05)。结论颈椎前路手术治疗青年颈椎病患者能获得良好的治疗效果。

Objective To evalute the clinical effects of anterior cervical surgery for cervical spondylosis in young patients.Methods 21 patients with cervical spondylosis treated by anterior approach were followed up from may 2011 to may 2014.according to JOA criteria of functional assessment.the outcome were analyzed statistically,to evalute improvement of never function.Result Totall 21 patients were successfully followed up.The duration of follow up averaged18±1.64 months,The average JOA score was（12.78±2.24）points before treatment and（15.11±1.37）points after treatment one week,（15.83±0.92）points while final followed-up.the outcome analyzed statistically show the difference of JOA scores between preoperation and postoperation one week have statistically significant（P〈0.05）,the scores between postoperation one week and final followed-up demostraste significantly statistical difference（P〈0.05）.Conclusion Anterior cervical surgery is an effective method to treat young patients with cervical spondylosis.