安徽医科大学学报2011，Vol.46Issue(8)：791-794,4.
颈椎前路两种手术方式治疗多节段脊髓型颈椎病
Anterior cervical discectomy combined with corpectomy treatment of multi-segmental cervical spondylotic myeiopathy
巩陈 1申才良 1董福龙 1郑军 1汪卫兵2
作者信息
- 1. 安徽医科大学第一附属医院骨科,合肥,230022
- 2. 安徽医科大学第一附属医院放射科,合肥,230022
- 折叠
摘要
Abstract
Objective To evaluate of two different anterior cervical surgical treatment of multilevel cervical spondylotic myelopathy clinical efficacy. Methods Selected three or more segments accumulated of the spinal cord-type cervical spondylosis of 36 patients, of which 18 cases were treated with a single sub-segment corpectomy internal fixation + other disc excision alone bone graft and internal fixation( A group ), which was segmental decompression and bone graft fixation; 18 patients with two or more vertebral bodies and fusion with subtotal long segment plate fixation( B group ), which was long segment decompression and bone graft fixation. Two groups were compared with operative time , operative blood loss, hospital stay, fusion rate, neurological improvement rate and cervical physiological curvature of the situation. Results Operation time, blood loss, hospital stay in A group were lower than those in B group( P ＜0. 05 ). Internal fixations of both groups had not problem postoperative. Cobb’s angle compared with preoperative improvement between the two groups was statistically significant( P ＜ 0. 05 ) ; B group anglec loss rate of postoperative follow-up was higher than that in A group( P ＜0. 05 ); Bone graft fusion occurred after 6 months in two groups, JOA scores had improvement in the two groups and there was no statistically significant ( P ＞0. 05 ). Conclusion Both methods attain good clinical results; Anterior cervical discectomy combined with corpectomy treatment of multi-segmental cervical spondylotic myeiopathy , with relatively less blood loss, shorter operative time,less trauma, retain more vertebral bone.which is a good operation method.关键词
颈椎病/外科学/椎间盘切除术/脊柱融合术Key words
cervical spondylosis/sutgery/diskectomy/spinal fusion分类
医药卫生引用本文复制引用
巩陈,申才良,董福龙,郑军,汪卫兵..颈椎前路两种手术方式治疗多节段脊髓型颈椎病[J].安徽医科大学学报,2011,46(8):791-794,4.
