临床骨科杂志2013，Vol.16Issue(3)：250-252,3.DOI:10.3969/j.issn.1008-0287.2013.03.004
颈后路单开门椎管扩大成形术治疗多节段脊髓型颈椎病疗效分析
Efficacy analysis of multi-segmental cervical spondylotic myelopathy treated with posterior unilateral open-door laminoplasty
石发勇 1申才良 1董福龙 1章仁杰1
作者信息
- 1. 安徽医科大学第一附属医院骨科,安徽,合肥,230022
- 折叠
摘要
Abstract
Objective To evaluate the clinical outcome and prognostic factors of open-door laminoplasty( ELAP ) for multi-segmental cervical spondylotic myelopathy( CSM ). Methods A retrospective analysis of 76 patients with ELAP following CSM treated was performed. Japanese Orthopaedic Association ( JOA ) scores and Hirabayashi scores were recorded preoperatively and postoperatively. Results The preoperative and postoperative JOA score was 9. 5 ± 2. 41 and 12. 92 ± 1. 69 respectively with the time of follow-up 6 ~ 36( 24. 6 ± 10. 2 ) months. All patients had been, in some extent, improved in neurological status and the recovery ratio was 12. 92 ± 1. 69 ( P < 0. 05 ). The improvement rate of neural function was 54. 60% ± 15. 52% in the last follow-up. Conclusions ELAP can be applied to multi-segmental CSM with manifest effect on decompression and neurological status. In addition, other factors, such as age, pathogenesis and preoperative JOA scores, are significant factor in recovery ratio.关键词
单开门/椎管扩大成形术/脊髓型颈椎病Key words
expansive open-door/ laminoplasty/ cervical spondylotic myelopathy分类
医药卫生引用本文复制引用
石发勇,申才良,董福龙,章仁杰..颈后路单开门椎管扩大成形术治疗多节段脊髓型颈椎病疗效分析[J].临床骨科杂志,2013,16(3):250-252,3.
