脊髓腹背受压合并颈椎不稳定脊髓型颈椎病的手术选择

Surgical Treatment of Cervical Spondylotic Myelopathy with Compression from Front and Back Side and Instability of Cervical Spine

目的 探讨由多因素(腹背侧受压和不稳定)所引起的脊髓型颈椎病的治疗方法。方法 对32例脊髓型颈椎病施行了颈后路单开门加铰链侧植骨,并对其随访,平均随访时间为3年4个月。结果 JOA评分平均改善率为68.1％,按Hirabayshi恢复率评定标准,优良率为81.2％。结论 颈椎单开门结合铰链侧植骨为治疗脊髓腹背侧受压合并颈椎不稳定脊髓型颈椎病的有效方法。

Objective To study the operative selection of cervical spondylotic myelopathy (CSM) with compression from front and back side and instability cervical spondylotic myelopathy of cervical spine. Methods From January 1993 to December 2001, 32 cases were operated upon with expansive open-door laminoplasty of cervical spine and bony graft on the hinge of the door. They were followed up for an average of three years and four months. Results JOA recovery rate for an average was 68.1 % . According to the evaluation standard of Hirabayshi recovery rate, the excellent and good result rate was 81.1%. Conclusion Open-door laminoplasty with bony graft on the hinge of the door is an effective theraputic method for CSM with compression from front and back side and instability of cervical spine.