摘要
Abstract
Objective To explore the effect of anterior cervical corpectomy and posterior longitudinal ligament resection and decompression and fusion for the therapeutic in acute cervical spinal cord injury caused by cervical spondylotic myelopathy and cervical trauma.Methods Retrospective analysis was carried out to 19 cases of acute cervical spinal cord injury caused by cervical spondylotic myelopathy and cervical trauma who used anterior cervical corpectomy and posterior longitudinal ligament resection and decompression and fusion for the therapeutic,and analysis of patients before trauma (T)1,post-traumatic (T2),within 1 week after operation (T3),10 months after operation (T4) these four periods about the changes of cervical curvature and neural function (JOA score) were analyzed,then evaluated the operation curative effect.Results All patients were followed up for 10-24 months,averaged (15.2 ± 6.7) months.The cervical curvature at T1,T2,T3,T4were (28.621 ± 1.850)°,(29.326 ± 2.416)°,(38.384 ± 2.611) °,(37.316 ± 2.521) °.The JOA score at T1,T2,T3,Tawere (12.79 ± 1.316),(4.00 ± 2.082),(9.68 ± 3.001),(11.68 ± 3.334).Conclusion Anterior cervical corpectomy and posterior longitudinal ligament resection and decompression and fusion for the therapeutic can achieve effective decompression,reconstruction of cervical curvature,and it can provide effective rehabilitation conditions in cervical spinal cord injury caused by cervical spondylotic myelopathy and cervical trauma.Active postoperative rehabilitation treatment is also an important way to improve nerve function.关键词
脊髓型颈椎病/颈椎外伤/颈前路手术/颈髓损伤Key words
Cervical spondylotic myelopathy/Cervical trauma/Anterior cervical surgery/Cervical cord injury
