临床骨科杂志2016，Vol.19Issue(5)：530-533,4.DOI:10.3969/j.issn.1008-0287.2016.05.008
颈后路单开门椎管成形术门轴位置内移的疗效分析
Effect analysis of shaft position within the shift of the posterior cervical single open-door ;laminoplasty
周金才 1王栓科 2厚兆军 1鲁永刚 1张玉辉1
作者信息
- 1. 平凉市第二人民医院骨科，甘肃 平凉 744000
- 2. 兰州大学第二医院骨科，甘肃 兰州 730000
- 折叠
摘要
Abstract
Objective To investigate the relationship of clinical effect and shaft position shift in the posterior cervical single open-door laminoplasty. Methods Sixty-eight patients with cervical spondylotic myelopathy parallel posterior cervical single open-door laminoplasty patients were divided into two groups according to treatment methods: ① the wide open group:36 cases, conventional open group, shaft was located in the medial margin of the lateral mass;②the narrow open group:32 cases for shaft displacement group. The door shaft was located in the outside margin 1/4. They were compared between two groups of patients in operative time, intraoperative bleeding volume, postoperative recovery of neurological function, with Ishihara determination of cervical curvature index, cervical motion and imaging indexes were statistically analyzed. Results The operation time, volume of bleeding, JOA score improvement rate, cervical vertebra protrusion index, cervical activity of the two groups were not statistically significant(P>0. 05). The patients were followed up for 2 years. Satisfactory neurological function was improved after surgery, but the incidence of axial symptom score and C5 nerve root palsy was significantly lower in the narrow open group than that of wide open door group (P<0. 01). Conclusions Surgery appropriate door shaft position shift can not only ensure the operation effect, and can limit the spinal cord over after the shift, effectively prevent the occurrence of C5 nerve root palsy and reduce axial symptom severity.关键词
单开门椎管成形术/门轴/颈椎病Key words
single open-door laminoplasty/shaft/cervical spondylosis分类
医药卫生引用本文复制引用
周金才,王栓科,厚兆军,鲁永刚,张玉辉..颈后路单开门椎管成形术门轴位置内移的疗效分析[J].临床骨科杂志,2016,19(5):530-533,4.
