临床骨科杂志2018，Vol.21Issue(3)：257-262,6.DOI:10.3969/j.issn.1008-0287.2018.03.001
多节段脊髓型颈椎病单开门减压术后轴性痛因素分析
Factor analysis of decompression affecting onset of postoperative axial pain following unilater-al expansive laminoplasty for patients with multilevel cervical degenerative myelopathy
摘要
Abstract
Objective To investigate clinical characteristics, pathological mechanism and risk factors of postoperative axial pain (PAP) after decompression of unilaterally expansive laminoplasty with open-side fixation of Centrepiece mini-plates system for treating multilevel cervical degenerative myelopathy(MCDM). Methods The 79 MCDM pa-tients with ≥4 operated segments who underwent unilateral en bloc laminoplasty instrumented with Centrepiece mini-plates of open-side were entrolled,who were divided into two groups according to occurrence of PAP or not, they were PAP group(12 cases) and non-PAP group(67 cases). The differences of preoperative and postoperative values of cer-vical curvature,cervical lordosis index,range of angular motion from flexion to extension, lateral bending and rotation were compared between PAP and non-PAP groups. The correlations of preoperative type or dimension of cervical curve of C2～7 segments as well as cervical instability and prevalence of PAP were evaluated, respectively. Results Twelve patients with PAP accepted non-surgical treatment, and got fundamental improvement at the final follow-up. The ratio of concomitantly preoperative instability in PAP group was higher than that in non-PAP group, the difference had statistical significance(P＜0.05). Postoperative amplitude of reduction of sagittally angular motion in PAP group was more than that in non-PAP group, the difference had statistical significance(P＜0.05). Conclusions If MCDM patients are complicated with preoperative cervical instability, pronounce loss of sagittal amplitude of motion and sec-ondary onset of PAP of neck and shoulder will be incurred easily after unilaterally expansive laminoplasty adjuncted with fixation of Centrepiece mini-plates and screws of open-side.关键词
术后轴性痛/单开门扩大成形/颈椎不稳/微型板钉/后柱韧带复合体Key words
postoperative axial pain/unilateral expansive laminoplasty/cervical instability/mini-plate/posterior ligament complex分类
医药卫生引用本文复制引用
巩腾,苏学涛,夏群,王景贵,阚世廉..多节段脊髓型颈椎病单开门减压术后轴性痛因素分析[J].临床骨科杂志,2018,21(3):257-262,6.基金项目
中国人民武装警察部队后勤学院博士启动基金(编号:WYB201109) （编号:WYB201109）
