前路减压治疗神经根型颈椎病疗效分析

Analysis of Curative Effect with Anterior Cervical Decompression of Cervicalspondylotic Radiculopathy

目的 :探讨神经根型颈椎病的临床表现、辅助检查、临床诊断与治疗之间的关系 ;研究颈椎前路减压手术对神经根型颈椎病的效果。方法 :1998～ 2 0 0 1年间采用颈椎前路减压手术方式治疗神经根型颈椎病共计 81例 ,分别应用自体髂骨植骨或椎间融合器加前路钢板内固定。结果 :随访 81例 ,平均 2 8个月 ,应用JOA评分 ,术前平均 13.4 ,术后改善为 15 .2。优良率为87%。结论 :颈椎前路减压手术治疗神经根型颈椎病可以缓解根性症状 ,提高患者生活质量 。

Objective: To investigate the effect of anterior cervical depression in treating cervicalspondylotic radiculopathy. Methods: 81 patents with cervicalspondylotic radiculopathy were included in this study from 1998 to 2001. Some used iliac bone autograft, the others used Titanium Mesh (SOFAMOR DANEK). Results: 81 patients have been followed-up and the average period was 28 months. By JOA grade system, the mean score was 13.4 preoperative and 15.2 postoperative. Conclusion: The method of anterior cervical decompression can reduce radical syndrome in cervicalspondylotic radiculopathy, improve patients' life quality, thus provide a new treatment method.