Objective：To investigate a novel surgical method for multilevel cervical spondylotic myelopathy （CSM）. Methods： Totally 21 patients with multilevel CSM undergoing a novel surgical procedure from April 2001 to Janu...Objective：To investigate a novel surgical method for multilevel cervical spondylotic myelopathy （CSM）. Methods： Totally 21 patients with multilevel CSM undergoing a novel surgical procedure from April 2001 to January 2004 were analyzed retrospectively. All patients experienced anterior cervical decompression surgery in subsection, autograft fusion and internal fixation. Preoperative, immediate postoperative and follow-up image data, X-rays and semi-quantitative Japanese orthopaedics association （JOA） scores were used to evaluate the restoration of lordosis （Cobb＇s angle）, intervertebral heights, the stability of the cervical spine and the improvement of neurological impairment. Results： Preoperative symptoms were markedly alleviated or disappeared in most of the patients. According to the JOA scores, the ratio of improvement in neurological function was 72. 2%, including excellent in 9 cases （42.9%）, good in 7 cases （33.3%）, fair in 3 cases （14.3%） and poor in 2 cases （9.5%）. Immediate postoperative X-rays showed obvious improvements in lordosis and in the intervertebral height of the cervical spine （P〈0. 01）. There is no evidence of instrument failure during the mean follow-up period of 14. 2 months （9-24 months, P〉0. 01）. Conclusion：Anterior cervical decompression in subsection, autograft fusion and internal fixation is a rational effective method for the surgical treatment of multilevel CSM.展开更多
Objective： To compare the clinical efficacy of percutaneous kyphoplasty （PKP） with pedicle screw system （PS） in the treatment of vertebral compression fracture （VCF） . Methods： Eighty-six patients with VCF we...Objective： To compare the clinical efficacy of percutaneous kyphoplasty （PKP） with pedicle screw system （PS） in the treatment of vertebral compression fracture （VCF） . Methods： Eighty-six patients with VCF were treated either by PKP （ Group A, n ffi 30） ） or PS （ Group B, n ffi 56）. The anterior, intermediate, and posterior heights of the vertebrae body , visual analogue pain scale （VAS） before and after operation, the duration of operation, and amount of blood loss between two groups were compared. Results ： No statistical difference was noted regarding the vertebral height between two groups. Significant difference was seen in VAS, duration of operation and amount of blood loss between the two groups （P 〈0. 01 ）. Conclusions： Percutaneous kyphoplasty has the similar therapeutic efficacy with pedicle screw system in treatment of VCF with a mininlal invasion, less operation time and blood loss. For those with posterior wall destruction, PS is deemed favorable.展开更多
Objective： To compare the clinical efficacy of percutaneous vertebroplasty （PVP） with percutaneous kyphoplasty （PKP） in the treatment of vertebral compression fracture （VCF）. Methods： Ninety-eight patients wi...Objective： To compare the clinical efficacy of percutaneous vertebroplasty （PVP） with percutaneous kyphoplasty （PKP） in the treatment of vertebral compression fracture （VCF）. Methods： Ninety-eight patients with VCF were treated by PVP （n = 42 ） or PKP （n = 56 ）. The anterior midline and posterior heights of vertebrae body, preoperative and postoperative visual analogue scale （VAS）, operation time and amount of blood loss were compared between 2 groups. Results： There was statistical difference in vertebral height between two groups （ P 〈 0. 01 ）. No significant difference was seen in VAS, operation time and blood loss between two groups （ P 〈 0.05 ）. Conclusions： PKP and PVP have the similar therapeutic efficacy in treatment of VCF with minimal invasion, less operation time and blood loss. However, PKP is superior in the recovery of vertebral height.展开更多
Objective： To observe the clinical effect of tuina plus traction for cervical distortion in teenagers. Methods： Tuina plus traction was applied to 40 teenagers with cervical distortion once every other day, and 10 d...Objective： To observe the clinical effect of tuina plus traction for cervical distortion in teenagers. Methods： Tuina plus traction was applied to 40 teenagers with cervical distortion once every other day, and 10 days make up 1 treatment course. The therapeutic effect was evaluated after 2 courses. Result： Significant changes occurred after the treatment： 15 cases got correction, 20 cases got substantial improvement and 5 cases got certain improvement. Conclusion： Tuina plus traction works effectively for abnormal cervical physiological curve in teenagers.展开更多
文摘Objective：To investigate a novel surgical method for multilevel cervical spondylotic myelopathy （CSM）. Methods： Totally 21 patients with multilevel CSM undergoing a novel surgical procedure from April 2001 to January 2004 were analyzed retrospectively. All patients experienced anterior cervical decompression surgery in subsection, autograft fusion and internal fixation. Preoperative, immediate postoperative and follow-up image data, X-rays and semi-quantitative Japanese orthopaedics association （JOA） scores were used to evaluate the restoration of lordosis （Cobb＇s angle）, intervertebral heights, the stability of the cervical spine and the improvement of neurological impairment. Results： Preoperative symptoms were markedly alleviated or disappeared in most of the patients. According to the JOA scores, the ratio of improvement in neurological function was 72. 2%, including excellent in 9 cases （42.9%）, good in 7 cases （33.3%）, fair in 3 cases （14.3%） and poor in 2 cases （9.5%）. Immediate postoperative X-rays showed obvious improvements in lordosis and in the intervertebral height of the cervical spine （P〈0. 01）. There is no evidence of instrument failure during the mean follow-up period of 14. 2 months （9-24 months, P〉0. 01）. Conclusion：Anterior cervical decompression in subsection, autograft fusion and internal fixation is a rational effective method for the surgical treatment of multilevel CSM.
文摘Objective： To compare the clinical efficacy of percutaneous kyphoplasty （PKP） with pedicle screw system （PS） in the treatment of vertebral compression fracture （VCF） . Methods： Eighty-six patients with VCF were treated either by PKP （ Group A, n ffi 30） ） or PS （ Group B, n ffi 56）. The anterior, intermediate, and posterior heights of the vertebrae body , visual analogue pain scale （VAS） before and after operation, the duration of operation, and amount of blood loss between two groups were compared. Results ： No statistical difference was noted regarding the vertebral height between two groups. Significant difference was seen in VAS, duration of operation and amount of blood loss between the two groups （P 〈0. 01 ）. Conclusions： Percutaneous kyphoplasty has the similar therapeutic efficacy with pedicle screw system in treatment of VCF with a mininlal invasion, less operation time and blood loss. For those with posterior wall destruction, PS is deemed favorable.
文摘Objective： To compare the clinical efficacy of percutaneous vertebroplasty （PVP） with percutaneous kyphoplasty （PKP） in the treatment of vertebral compression fracture （VCF）. Methods： Ninety-eight patients with VCF were treated by PVP （n = 42 ） or PKP （n = 56 ）. The anterior midline and posterior heights of vertebrae body, preoperative and postoperative visual analogue scale （VAS）, operation time and amount of blood loss were compared between 2 groups. Results： There was statistical difference in vertebral height between two groups （ P 〈 0. 01 ）. No significant difference was seen in VAS, operation time and blood loss between two groups （ P 〈 0.05 ）. Conclusions： PKP and PVP have the similar therapeutic efficacy in treatment of VCF with minimal invasion, less operation time and blood loss. However, PKP is superior in the recovery of vertebral height.
文摘Objective： To observe the clinical effect of tuina plus traction for cervical distortion in teenagers. Methods： Tuina plus traction was applied to 40 teenagers with cervical distortion once every other day, and 10 days make up 1 treatment course. The therapeutic effect was evaluated after 2 courses. Result： Significant changes occurred after the treatment： 15 cases got correction, 20 cases got substantial improvement and 5 cases got certain improvement. Conclusion： Tuina plus traction works effectively for abnormal cervical physiological curve in teenagers.
