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颈椎管单开门扩大成形术结合微型钛板内固定术治疗脊髓型颈椎病65例临床分析

段显亮 程维 孙波 牛丰

北华大学学报(自然科学版)Issue(4):499-502,4.
北华大学学报(自然科学版)Issue(4):499-502,4.DOI:10.11713/j.issn.1009-4822.2014.04.018

颈椎管单开门扩大成形术结合微型钛板内固定术治疗脊髓型颈椎病65例临床分析

Clinical Analysis of 65 Cases with Unilateral Open-Door Cervical Expansive Laminoplasty plus Mini Titanium-Plate Fixation or Cervical Spondylotic Myelopathy

段显亮 1程维 1孙波 1牛丰2

作者信息

  • 1. 北华大学附属医院,吉林 吉林 132011
  • 2. 吉林大学第一临床医院,吉林 长春 130021
  • 折叠

摘要

Abstract

Objectives To investigate the clinical effects of unilateral open-door cervical expansive laminoplasty plus mini titanium-plate fixation for cervical spondylotic myelopathy. Method 65 cases of cervical spondylotic myelopathy were taken as the research subjects. The neurological function improvement was evaluated according to the JOA score,JOA improvement rate and FTT(foot tapping test),meanwhile,the axial symptoms and the change of cervical curvature were also assessed. Results The radiographic findings after the operation showed that internal fixation was stable and firm without any screw loosing and breaking, and reclosing of any opened lamina. Preoperative JOA average score was 8. 1±1. 9,and postoperative JOA average score was 14. 6±2. 2,which showed an obvious change(P<0. 05),the improvement rate(73. 1±6. 5)%. The average score of preoperative FTT was 24 . 1 ± 6 . 7 , but the postoperative one was 29 . 3 ± 6 . 3 , there was a significant difference ( P<0 . 05 ) . Conclusion Unilateral open-door cervical expansive laminoplasty plus mini titanium-plate fixation is a convenient and satisfied method for the treatment of cervical spondylotic myelopathy.

关键词

颈椎管/微型钛板/内固定术/脊髓型颈椎病

Key words

cervical spinal canal/mini titanium-plate/internal fixation/cervical spondylotic myelopathy

分类

医药卫生

引用本文复制引用

段显亮,程维,孙波,牛丰..颈椎管单开门扩大成形术结合微型钛板内固定术治疗脊髓型颈椎病65例临床分析[J].北华大学学报(自然科学版),2014,(4):499-502,4.

基金项目

吉林省科技发展计划项目(20110155) (20110155)

北华大学学报(自然科学版)

OACSTPCD

1009-4822

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