临床骨科杂志2016，Vol.19Issue(4)：411-414,4.DOI:10.3969/j.issn.1008-0287.2016.04.010
前路椎体次全切除结合椎间隙减压植骨融合术治疗多节段脊髓型颈椎病
Treatment of multilevel cervical spondylotic myelopathy by conjugation of anterior vertebral subtotal resection and intervertebral space decompression and bone graft fusion
刘斐文 1张彤 1孙川江 1谢涛江 1王永亮 1张雪锋1
作者信息
- 1. 攀钢集团总医院骨科，四川 攀枝花 617023
- 折叠
摘要
Abstract
Objectives To evaluate clinical effect of multilevel cervical spondylotic myelopathy( CSM) treated by an-terior vertebral subtotal resection conjugated with intervertebral space decompression and bone graft fusion. Methods Forty-six cases of CSM whose three segments were received anterior approach treatment. Among them, 24 cases re-ceived vertebral subtotal resection conjugated with single cell gap decompression and bone graft fusion as Group A, and the other 22 cases were given subtotal resection decompression of two vertebral bodies and decompression and bone graft fusion as Group B. Operation time and bleeding, bone graft fusion rate, nerve function amelioration and cervical vertebra physiological curvature restoration were observed and compared. Results All patients were followed up for 15~36 months. Operation time in Group A was (105 ± 20) min, while that in Group B was (180 ± 30) min, bleeding during operation were (120 ± 35) ml in group A and (210 ± 25) ml in group B, the difference of the data between two groups were statistically significant ( P<0. 05 ) . Bone graft fusion rates of three months after operation were 100% in Group A and 77. 3% in Group B, also with statistical significance (P<0. 05). Nerve function amelio-ration rates were 83. 3% in Group A and 81. 8% Group B, showed no statistical significance(P>0. 05). Postopera-tion cervical vertebra physiological curvature of both groups were obviously ameliorated, without statistical significance (P>0. 05). Conclusions Multilevel CSM treatment by anterior vertebral subtotal resection conjugated with interver-tebral space decompression and bone graft fusion can gain satisfactory effect, with advantages such as relatively simp-ler operations, less bleeding, shorter operation time, higher bone graft fusion rates, and so on. It is a safe, effective operation method which can also reduce complications.关键词
脊髓型颈椎病/外科减压术/植骨融合Key words
cervical spondylotic myelopathy/surgical decompression/bone graft fusion分类
医药卫生引用本文复制引用
刘斐文,张彤,孙川江,谢涛江,王永亮,张雪锋..前路椎体次全切除结合椎间隙减压植骨融合术治疗多节段脊髓型颈椎病[J].临床骨科杂志,2016,19(4):411-414,4.
