中国组织工程研究与临床康复2011，Vol.15Issue(30)：5675-5678,4.DOI:10.3969/j.issn.1673-8225.2011.30.040
后路减压侧块螺钉置入内固定治疗颈椎多节段后纵韧带钙化:5年36例资料回顾
Multi-segmental cervical ossification of posterior longitudinal ligament treated by posterior decompression and internal fixation of cervical lateral mass screw
摘要
Abstract
BACKGROUND: Posterior decompression and lateral mass screw fixation can relieve the compression of ossification foci to the spinal cord and nerve root, expand the sagittal diameter of the the spinal canal. Meanwhile, the stable reconstruction is realized.OBJECTIVE: To verify the clinical efficacy of posterior decompression and internal fixation of cervical lateral mass screw for multi -segmental cervical ossification of posterior longitudinal ligament (OPLL).METHODS: Thirty-six patients with multi -segmental OPLL were treated by cervical posterior decompression and internal fixation of cervical lateral mass screw. Among these patients, 3 cervical segments were involved in 9 cases, 4 in 20 cases, and 5 in 7 cases.RESULTS AND CONCLUSION: All the cases were followed up for6 months to 26 months. The mean recovery rate based on the scoring system of the Japanese Orthopaedic Association JOA was 51 ％ (from 5.2 score to 10.2 score). The mean cervical physiological curvature was from (3.6±0.5) mm preoperatively to (9.1±0.7) mm postoperatively. No severe complications such as injuries of vertebral artery, nerve root and spinal cord or aggravation of spinal cord injury occurred. The sa tisfactory decompression of spinal cothe rd can be achieved by total laminectomy for multi-segmental OPLL and the internal fixation cervical lateral mass screw can perfectly reconstruct and maintain the cervical stability.关键词
多节段后纵韧带钙化/减压术/内固定/多节段/侧块分类
基础医学引用本文复制引用
胡朝晖,李宁宁,孙宏志,李小彪,谢湘涛,梁博伟,罗同青..后路减压侧块螺钉置入内固定治疗颈椎多节段后纵韧带钙化:5年36例资料回顾[J].中国组织工程研究与临床康复,2011,15(30):5675-5678,4.基金项目
柳州市科技局资助项目(2010030708). （2010030708）
