临床骨科杂志2011，Vol.14Issue(3)：255-257,3.
颈前路分节段减压融合治疗多节段颈椎病
Segmental anterior cervical decompression with fusion for treating multilevel cervical myelopathy
林昊 1何仿 1李健 1崔庆元 1陈小强 1田纪伟2
作者信息
- 1. 马鞍山市立集团人民医院骨科,安徽,马鞍山,243000
- 2. 上海交通大学附属第一人民医院骨科,上海,200080
- 折叠
摘要
Abstract
Objective To evaluate the clinical value of the segmental anterior cervical decompression with fusion for treating multilevel cervical myelopathy.Methods 24 patients of multilevel cervical myelopathy with 3 or 4 consecutive segments were treated with segmental anterior cervical decompression with fusion.All patientst' cervical plain films,magnetic resonance imaging( MRI ) on preoperation and cervical plain films on postoperation were ohserved.The JOA scores of preoperation and 3 months postoperatively were collected.Results 24 cases were followed up from 3 months to 48 months, average 28 months.All patients improved their functional status in different degree.No complications such as graft nonunion and graft suhsidence occurred.The mean preoperative JOA score of all patients was ( 8.20 ±2.26 ),the postoperative of 3 months was ( 13.50 ± 1.28 ) , the average JOA recovery rate was 60.2％.Fusion rate was 100％.Conclusions The segmental anterior cervical decompression with fusion for treating multilevel cervical myelopathy appears to be effective in decompressing spinal cord, improving nerve functional status and restoring lordosis to the cervical spine with high fusion rate and fewer complications.关键词
多节段颈椎病/分节段减压/脊柱融合术Key words
multilevel cervical myelopathy / segmental decompression / spine fusion分类
医药卫生引用本文复制引用
林昊,何仿,李健,崔庆元,陈小强,田纪伟..颈前路分节段减压融合治疗多节段颈椎病[J].临床骨科杂志,2011,14(3):255-257,3.
