自锁钢板内固定治疗脊髓型颈椎病

Treatment of cervical spondylotic myelopathy by anterior cervical locking plate system

目的 以自锁钢板内固定治疗脊髓型颈椎病 ,提高疗效减少并发症。方法 78例脊髓型颈椎病患者采用自锁钢板内固定治疗 ,术前认真作好准备 ,术后严密观察。结果 除 1例死亡外 ,根据JOA评分标准 ,治疗后患者 1例达 17分 ,13～ 16分 8例 ,5～ 12分 68例 ,0～ 4分 1例 ;与治疗前相比有显著效果。结论 自锁钢板内固定加彻底减压是临床治疗脊髓型颈椎病的有效方法 。

Objective To improve the therapeutic efficacy of cervical spondylotic myelopathy (CSM) and reduce the complications by anterior cervical locking plate system (ACLPs).Methods 78 patients with CSM were treated with ACLPs.Thoughtful preparation and careful observation were given before and after the operation.Result All the cases obtained excellent results postoperatively according to the JOA score system except one dead.Conclusion ACLPs is a promising method for the treatment of CSM;careful preoperative preparation and postoperative observation can improve the efficacy and reduce the complications.