中国组织工程研究2017，Vol.21Issue(27)：4306-4311,6.DOI:10.3969/j.issn.2095-4344.2017.27.008
颈前路间盘切除植骨融合钛板内固定和颈后路单开门椎管成形治疗多节段脊髓型颈椎病:重建后的稳定性
Anterior cervical discectomy with fusion and posterior cervical expansive open-door laminoplasty for multilevel cervical spondylotic myelopathy: its postoperative stability
江泽华 1张学利 1朱如森 1及宁 1曹胜 1林雍智 1万军 1刘岩1
作者信息
- 1. 天津市人民医院脊柱一科,天津市 300121
- 折叠
摘要
Abstract
BACKGROUND: The treatment of multilevel cervical spondylotic myelopathy (MCSM) aims at sustaining the spinal cord compression and restoring the stability of the cervical vertebrae at most.OBJECTIVE: To analyze the clinical characters of anterior cervical discectomy with fusion and expansive open-door laminoplasty for MCSM.METHODS: Sixty-seven patients with MCSM were divided into two groups, and treated with anterior cervical discectomy with fusion (group A) or posterior cervical expansive open-door laminoplasty (group B). All the patients were followed up for 12 months, and the range of motion of cervical vertebrae, cervical curvature index were observed,as well as the Visual Analogue Scale and Japanese Orthopaedic Association scores were condueted. Moreover, the operation time, blood loss and adverse reactions were recorded.RESULTS AND CONCLUSION: (1) The loss of range of motion of the cervical vertebrae in the group B was significantly less than that in the group A (P < 0.05). (2) The cervical curvature index in the group A was significantly improved (P < 0.05), but the index had no significant change in the group B. (3) The axial systems were significantly improved in both groups, especially in the group A (P < 0.05). (4) The neurological function was significantly improved in both groups (P < 0.05), which showed no significant difference between two groups (P > 0.05). (5) The intraoperative blood loss in the group B was significantly more than that in the group A (P < 0.05). (6) The incidence of hoarseness and dysphagia in the group A was 19％. The incidence of wound infection, cerebrospinal fluid leakage and C5 nerve root palsy in the group B was 9％. (7) These results suggest that during choosing an appropriate method for MCSM,surgeons' skills and patients' situation should be considered.关键词
骨科植入物/脊柱植入物/多节段脊髓型颈椎病/颈前路间盘切除植骨融合术/颈后路单开门椎管成形术/临床疗效/并发症分类
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江泽华,张学利,朱如森,及宁,曹胜,林雍智,万军,刘岩..颈前路间盘切除植骨融合钛板内固定和颈后路单开门椎管成形治疗多节段脊髓型颈椎病:重建后的稳定性[J].中国组织工程研究,2017,21(27):4306-4311,6.
