颈前路椎体次全切除术的临床应用

Clinical Application of Anterior Cervical Mostly Vertebraectomy Technique

目的:寻找一种颈前路椎体次全切除术治疗颈部疾患新的理想方法。方法:采用椎体次全切除加植骨术。自1991年6月～2002年12月治疗颈部疾患32例。结果:32例均得到随访,平均改善率87.5％,无手术并发症及脊髓损伤症状加重,植骨块均已骨性愈合。结论:本方法具有暴露充分,扩大减压,减压较为彻底,手术操作简便、出血少等优点。对颈部疾患的手术病人是一种可供选择的理想方法。

Objective: To study a new treatment of cervical vertebrae disease by anterior cervical mostly vertebraectomy technique. Methods: Mostly vertebraectomy and bone transplanting were used in 32 cases from June 1991 to December 2002. Results: All cases were followed up, the average improvement rate was 87.5% without complication and deterioration of primary spinal injury symptoms. The osteal henosis occurred in all bone grafts. Conclusion: The method, anterior cervical mostly vertebraectomy technique, which was characterized by though exposure, complete decompression, simple manuever, less bleeding, was an ideal optional treatment to the patients with cervical vertebrae disease needing operation.