中国临床医学2012，Vol.19Issue(6)：648-650,3.
颈前路经椎间隙减压加单椎体次全切除术治疗多节段颈椎病的疗效分析
Anterior One-Level Corpectomy Plus Adjacent-Level Discectomy on Multilevel Cervical Spondylosis
陈为民 1章筛林 2石志才3
作者信息
- 1. 江苏省姜堰市人民医院骨科,江苏姜堰225500
- 2. 苏州大学附属第一医院骨科,江苏苏州 215006
- 3. 第二军医大学附属长海医院骨科,上海200433
- 折叠
摘要
Abstract
Objective:To study the clinical effects of anterior one-level corpectomy plus adjacent-level discectomy on multilevel cervical spondylosis. Methods: From December 2006 to December 2009, 31 patients with multilevel cervical spondylosis of 3 consecutive segments underwent anterior one-level corpectomy plus adjacent-level discectomy and fusion (group A) or contiguous two-level corpectomy and fusion (group B). Operative time, blood loss, improvement of post-operative Japanese Orthopedic Association(JOA) score and graft fusion rate were compared between the two groups. Results: All the patients were followed up for 12 to 30 months (average 20 months) . The mean operative time and blood loss of group A were statistically less than those of group B (P<0. 05). At 3 months postoperatively Graft fusion rate of group A(100%) was higher than group B (91.7%), but the difference was not statistically significant (P＞0.05). At 6 months postoperatively Graft fusion rates of both groups were 100%. JOA score of all cases in both groups were improved at 6 months postoperatively, but the mean JOA improvement rate was not significantly different between the two groups(P＞0.05). Conclusions: Anterior one-level corpectomy plus adjacent-level discectomy is an effective method for treating multilevel cervical spondylosis and is better than contiguous two-level corpectomy.关键词
颈椎病/外科减压术/椎体切除术/脊柱融合术/植骨Key words
Cervical spondylosis/ Surgical decompression/ Corpectomy/ Spinal fusion/ Bone graft分类
医药卫生引用本文复制引用
陈为民,章筛林,石志才..颈前路经椎间隙减压加单椎体次全切除术治疗多节段颈椎病的疗效分析[J].中国临床医学,2012,19(6):648-650,3.
