中国医学前沿杂志（电子版）2017，Vol.9Issue(6)：38-42,5.DOI:10.12037/YXQY.2017.06-09
不同手术入路治疗颈椎后纵韧带骨化症效果对比
Comparison of different surgical approaches in the treatment of ossification of posterior longitudinal lig-ament
摘要
Abstract
Objective To observe the efficacy of anterior cervical corpectomy decompression and fusion (anterior approach surgery) and posterior cervical open-door laminoplasty (posterior approach surgery) in the treatment of ossification of posterior longitudinal ligament (OPLL). Method 88 patients with OPLL treated in our hospital from January 2013 to January 2016 were selected as the subjects, and they were divided into group A (36 cases) and group B (52 cases) according to the number of ossification segments and the stenosis rate of the vertebral canal. Patients in group A were treated with anterior approach surgery, patients in group B were treated with posterior approach surgery. The Japanese Orthopaedic Association (JOA) scores at preoperative, postoperative 3 months and 9 months, operation condition, imaging inspection results before and after operation and postoperative complications of the two groups were compared. Result The operation time of group A was significantly longer than that of group B (P < 0.05), the postoperative hospital stay was significantly shorter than that of group B (P < 0.05), the amount of bleeding during operation was significantly less than that of group B (P < 0.05). The scores of JOA in group B were significantly higher than those of group A at 3 months and 9 months after operation (P < 0.05). The curvature of cervical spine before and after operation in group A was significantly higher than that in group B (P < 0.05), ossification area before and after operation in group A was significantly less than that in group B (P < 0.05), spinal stenosis rate before and after operation in group A was significantly lower than that in group B (P < 0.05). The overall complication rate of group A was significantly higher than that of group B (P < 0.05). Conclusion The two treatment methods have better effects on OPLL, patients with ossification less than 3 segments or pronounced disc herniation or with prominent nerve root compression symptoms are treated primarily with anterior approach surgery, for patients with higher ossification rate and higher stenosis rate, posterior approach surgery can effectively restore the patient's neurological function. The posterior approach surgery has fewer complications, and it is flexible and simple to operate.关键词
颈椎前路椎体次全切减压融合术/颈椎后路单开门椎管扩大成形术/颈椎后纵韧带骨化症/椎管狭窄率Key words
Anterior cervical corpectomy and fusion/Spinal posterior cervical open-door expansion of the angioplasty/Ossification of posterior longitudinal ligament/Spinal stenosis rate引用本文复制引用
陈崎,秦练,李名武,陈又年,周赤兵..不同手术入路治疗颈椎后纵韧带骨化症效果对比[J].中国医学前沿杂志（电子版）,2017,9(6):38-42,5.基金项目
湖北省卫生厅科研基金资助项目(2013Z-Y26) （2013Z-Y26）
