临床骨科杂志2017，Vol.20Issue(4)：390-393,397,5.DOI:10.3969/j.issn.1008-0287.2017.04.002
颈前路手术治疗3节段脊髓型颈椎病
Anterior cervical surgery in the treatment of three-segmental cervical spondylotic myelopathy
朱磊 1朱士永 2倪斌 3赵文龙3
作者信息
- 1. 蚌埠市第二人民医院骨科,安徽 蚌埠 233000
- 2. 兰陵县人民医院脊柱外科, 山东 兰陵 277700
- 3. 第二军医大学长征医院脊柱四科,上海 200003
- 折叠
摘要
Abstract
Objective To analyze the clinical outcomes of anterior cervical decompression and interbody fusion for three-segmental cervical spondylotic myelopathy.Methods A retrospective analysis was performed on 124 cases with three-segmental cervical spondylotic myelopathy who had undergone anterior cervical decompression.The patients were divided into anterior cervical discectomy and fusion(ACDF) group (78 cases) and anterior cervical corpectomy and fusion(ACCF) group(46 cases).The operative effects were evaluated by using the JOA scores and improvement rates,fusion rates and cervical curvatures.Results All cases were followed up for 13~54 (36.7± 15.1) months in ACDF group and 14~53(33.6±18.7) months in ACCF group.The postoperative JOA scores and cervical Cobb angles of two groups were significantly improved and regained,compared with preoperative ones (P<0.05).But ACDF group had better results in operation time,intraoperative blood loss,cervical curvature and operative complication than ACCF group (P<0.05).The postoperative JOA scores,improvement rate and bone graft fusion rate between the two groups were not statistically significant (P>0.05).Conclusions The postoperative neural functional recovery after ACDF procedure or ACCF procedure is satisfactory for three-segmental cervical spondylotic myelopathy.Meanwhile,ACDF procedure has better result in restoring cervical physiological curvature and lower incidence rate of postoperative complications.关键词
多节段脊髓型颈椎病/前路减压Key words
multi-segmental cervical spondylotic myelopathy/anterior cervical decompression分类
医药卫生引用本文复制引用
朱磊,朱士永,倪斌,赵文龙..颈前路手术治疗3节段脊髓型颈椎病[J].临床骨科杂志,2017,20(4):390-393,397,5.
