颈后路椎管扩大成形术治疗脊髓型颈椎病

Posterior extended laminoplasty for the treatment of cervical spondyiotic myelopathy

目的 观察颈后路单开门椎管扩大成形术治疗脊髓型颈椎病的疗效。方法 5 6例CSM患者行颈后路椎管扩大成形术治疗 ,术后通过信函和复诊方式随诊 ,平均随访 2 4个月 ,按JOA评分方法 ,评价术前、术后脊髓功能恢复及临床症状消失情况。结果 5 6例术前术后比较临床症状有明显改善 ,发病至手术时间越短≤ 6个月 ,疗效越好 ,术后优良率达 87.5 %。结论 尽早查明引起脊髓型颈椎病的原因 ,根据临床症状和影像学的改变及早诊断、及早手术 。

Objective: To review the results of the treatment of cervical spondylotic myelopathy after posterior extended open-door laminoplasty.Methods: 56 cases were treated by posterior extended open-door laminoplasty with an average follow-up of 24 months. According to JOA scoring system, neurologic function and cervical clinlical syndrom were evaluated before and after operation.Results: All had clinlical improvement in syndroms after operation. The best time from outbreak to operation is no more than 6 months. Less is the time, better is the result. The good and exceUem results were obtained in 87.5%.Conclusions:It has great clinlical significance to find the reasons resulting in cervical spondylotic myelopathy as early as possible and to avoid the continued injury of neural function by early diagnosis and operation according to the changes of clinlical symptoms mad radiology.