新医学2026，Vol.57Issue(4)：370-377,8.DOI:10.12464/j.issn.0253-9802.2025-0395
显微镜辅助颈椎前路手术治疗合并脊髓损伤的颈椎后纵韧带骨化
Microscope-assisted anterior cervical surgery for ossification of the cervical posterior longitudinal ligament with spinal cord injury
摘要
Abstract
Objective To evaluate the clinical efficacy of microscope-assisted anterior cervical surgery in patients with ossification of the cervical posterior longitudinal ligament(OPLL)complicated by spinal cord injury.Methods A total of 72 patients with OPLL who underwent anterior cervical surgery at Zhongshan Hospital Affiliated to Dalian University from January 2019 to January 2024 were retrospectively included.According to the surgical approach used,they were divided into a microscope-assisted group(n=38)and a conventional group(n=34).Perioperative indicators,complications,and preoperative and 12-month postoperative visual analogue scale(VAS)score,Frankel grade,Japanese Orthopaedic Association(JOA)score,and JOA improvement rate were compared between the two groups.Results The two groups were comparable in baseline characteristics,such as age,sex,type of ligament ossification,and number of involved vertebral segments(all P＞0.05).Compared with the conventional group,the microscope-assisted group showed significant advantages in shorter operative time,less intraoperative blood loss,lower drainage volume,and shorter hospital stay(all P＜0.05).At 12 months after surgery,VAS score,Frankel grade,and JOA score were all improved in both groups compared with those before surgery(all P＜0.001).The microscope-assisted group had better VAS score,Frankel grade,JOA score,and JOA improvement rate than the conventional group(all P＜0.05),and a lower incidence of complications(2.6%vs.11.8%).Conclusions Microscope-assisted anterior cervical surgery has advantages in the treatment of OPLL complicated by spinal cord injury.It can reduce surgical trauma,decrease the incidence of complications,and improve surgical efficacy.关键词
显微镜/颈椎前路手术/脊髓损伤/颈椎后纵韧带骨化/临床疗效Key words
Microscope/Anterior cervical surgery/Spinal cord injury/Ossification of the posterior longitudinal ligament of the cervical spine/Clinical efficacy引用本文复制引用
尚德鹏,付大鹏,廉皓屹,赵振华,丛洋,杨帆..显微镜辅助颈椎前路手术治疗合并脊髓损伤的颈椎后纵韧带骨化[J].新医学,2026,57(4):370-377,8.基金项目
辽宁省科技计划联合计划项目(2024011521-JH3/4700) （2024011521-JH3/4700）
大连市科技局生命健康领域指导计划项目(大科社农(2023)243号) （大科社农(2023）
