临床骨科杂志2017，Vol.20Issue(5)：520-522,3.DOI:10.3969/j.issn.1008-0287.2017.05.004
颈前路椎体次全切除联合椎间隙减压融合内固定治疗多节段颈椎病
Anterior cervical corpectomy and fusion combined with anterior cervical discectomy and fusion for treatment of multilevel cervical spondylosis
谢纪宝 1郑永茂 1徐秀成 1郭永杰 1柴充 1王浩磊1
作者信息
- 1. 平煤神马医疗集团总医院骨科,河南平顶山467000
- 折叠
摘要
Abstract
Objective To investigate the clinical outcomes of anterior cervical corpectomy and fusion combined with anterior cervical discectomy and fusion for treatment of multilevel cervical spondylosis.Methods A total of 26 consecutive patients with multilevel cervical spondylosis undergone anterior cervical corpectomy and fusion combined with anterior cervical discectomy and fusion were retrospectively reviewed.The operation complications and the JOA score of postoperative intervals of 1 week and 6,12 months were recorded and assessed respectively,and the neurofunctional improvement were assessed and recorded by Epstein standard.Results All cases were regularly followed up for 24 months.One case came out neck hematomas in 6 h and 2 cases came out injury of recurrent laryngeal nerve after operation.The JOA scores significantly improved at 1 week and 6,12 months after operation(P ＜ 0.05).At 12 months after operation,the neurofunctional improvement were excellent in 6 patients,good in 16,fair in 4.Twenty-two cases gained satisfactory results of surgery.The 25 cases got solid fusion in two years after operation.1 intervertebral space of 1 case(3 segments) was not fused,but the patient had no clinical symptoms.Conclusions Anterior cervical corpectomy and fusion combined with anterior cervical discectomy and fusion is safe and effective for treatment of multilevel cervical spondylosis.关键词
颈椎病/颈前路椎体切除术/内固定/脊柱融合Key words
cervical spondylosis/anterior cervical corpectomy/internal fixation/spinal fusion分类
医药卫生引用本文复制引用
谢纪宝,郑永茂,徐秀成,郭永杰,柴充,王浩磊..颈前路椎体次全切除联合椎间隙减压融合内固定治疗多节段颈椎病[J].临床骨科杂志,2017,20(5):520-522,3.
