中国组织工程研究与临床康复2011，Vol.15Issue(35)：6527-6531,5.DOI:10.3969/j.issn.1673-8225.2011.35.016
不同椎间植入物内固定方式治疗长节段颈椎后纵韧带骨化症的比较
Different interbody implants for long segment ossification of cervical posterior longitudinal ligament
谭明 1赵明杰 1焦根龙 1李志忠 1孙国栋1
作者信息
- 1. 暨南大学附属第一医院,广州市华侨医院,骨科,广东省广州市510630
- 折叠
摘要
Abstract
BACKGROUND: Treatments for ossification of cervical posterior longitudinal ligament (OPLL) are controversial, and there is nothere is no standard treatment program.OBJECTIVE: To discuss and analyze the different surgical treatments effect on long-segment OPLL.METHODS: Thirty-five long-segment OPLL accompanied with severe cervical spondylotic myelopathy were followed up,including 10 cases undergoing anterior cervical corpectomy, removal or partial removal of ossification foci, interbody implantfusion as group A, 16 receiving posterior open-door laminoplasty, decompression, bone graft and internal fixation as group B, and9 undergoing posterior open-door laminoplasty without internal fixation as group C.RESULTS AND CONCLUSION: All cases were followed up for 6-24 months. Twelve months after treatment, the meanamelioration rate was 79.59％ in group A, 83.01％ in group B, 60.35％ in group C. There was 1 case with dural tear in group A,and 3 cases without obvious symptom changes in group C. These findings indicate that the thera py of open-door laminoplasty,decompression, bone graft and internal fixation is good, safe and effective for long-segment OPLL.关键词
后纵韧带骨化症/颈椎/置入路径/内固定/并发症分类
基础医学引用本文复制引用
谭明,赵明杰,焦根龙,李志忠,孙国栋..不同椎间植入物内固定方式治疗长节段颈椎后纵韧带骨化症的比较[J].中国组织工程研究与临床康复,2011,15(35):6527-6531,5.
