临床骨科杂志2018，Vol.21Issue(1)：8-10,3.DOI:10.3969/j.issn.1008-0287.2018.01.003
单开门微型钛板固定治疗多节段脊髓型颈椎病
Mini-plate in expansive open-door laminoplasty for treatment of multilevel cervical spondylotic myelopathy
汪勇刚 1胡伟 1许永涛1
作者信息
- 1. 荆州市中心医院脊柱外科,湖北 荆州 434000
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of mini-plate in expansive open-door laminoplasty(EOLP) for treatment of multilevel cervical spondylotic myelopathy(MCSM). Methods Mini-plate was applied to 28 cases with MCSM of EOLP.JOA and sagittal diameter of spinal canal before and after the surgery was respectively used to evalu-ate the clinical effect. Results All patients were followed up for 9~15 months. The JOA score was 3~12(7.1 ± 2.3) before operation and 9.2~16.1(12.5 ± 2.8) after operation, the difference was statistically significant(P<0.05).The sagittal diameter of spinal canal was increased from preoperative 6.9~10.7(8.8 ± 1.6) mm to postoper-ative 11.3~17.4(13.8 ± 2.1) mm(P<0.05),at last follow-up, the sagittal diameter of spinal canal was 11.2~16.9(13.1 ± 2.9) mm,there was no significantly statistical difference in above items between postoperation and last follow-up(P>0.05). All patients had bony union on the hinge side,there was no case with door re-closure and cer-vical instability. There was 1 case developed the complication of C5nerve root palsy,2 cases of the axial symptom,all patients were relieved after symptomatic treatment.Conclusions Mini-plate can avoid door re-closure in the EOLP, which is beneficial to the recovery of the injured nerve and reduce the axial symptoms,the recent effect is satisfied.关键词
脊髓型颈椎病/多节段/单开门椎板成形术/微型钛板Key words
cervical spondylotic myelopathy/multi-segment/expansive open-door laminoplasty/titanium mini-plate分类
医药卫生引用本文复制引用
汪勇刚,胡伟,许永涛..单开门微型钛板固定治疗多节段脊髓型颈椎病[J].临床骨科杂志,2018,21(1):8-10,3.
