| 保留椎体后侧壁植骨治疗多节段脊髓型颈椎病 |
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投稿时间：2005-09-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 占蓓蕾 |
ZHAN Bei-lei |
衢州市人民医院骨科,浙江衢州324000 |
Department of Orthopaedics, the People s Hospital ofQuzhou,Quzhou324000,Zhejiang,China |
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| 叶舟 |
YE Zhou |
衢州市人民医院骨科,浙江衢州324000 |
Department of Orthopaedics, the People s Hospital ofQuzhou,Quzhou324000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2006年，第19卷，第8期，第467-468页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨经颈前路植骨融合治疗多节段脊髓型颈椎病的临床疗效。
方法:多节段脊髓型颈椎病38例,男29例,女9例;年龄35~78岁,平均56.5岁;慢性发病18例,急性发病9例,轻度外伤或劳累后发病11例;病程15d~16年,平均31个月;病变累及2个节段19例,3个节段14例,4个节段5例;曾行后路全椎板减压术5例,单开门1例。采用保留颈椎椎体后侧壁植骨融合的方法治疗以提高颈椎椎体结构的相对稳定及植骨融合率,减少并发症的发生。
结果:所有患者均获随访,随访时间2~69个月,平均32个月。手术减压及融合节段全部于手术后2个月获骨性融合,颈椎稳定性良好。依据贾连顺疗效评价:优19例,良14例,可4例,差1例。
结论:该方法具有脊髓减压彻底,颈椎椎体结构干扰破坏少,既提高植骨融合面积,又确保植骨融合,术后并发症少,为多节段脊髓型颈椎病提供一种比较理想的手术方法。 |
| 【关键词】脊髓型颈椎病 减压 植骨 |
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| Bone fusion with reserving posteriolateral vertebral body wall for treatment of multi-segment cervical spondylotic myelopathy |
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ABSTRACT
Objective:To explore the value of technique of anterior bone fusion with reserving posterio-lateral vertebral body wall in treating multi-segment cervical spondylotic myelopathy.
Methods:Thirty-eight pa-tients with multilevel cervical spondylotic myelopathy included 29 male and 9 female; The average age was56·6 years ranging from 35 to 78 years.Eighteen cases were slow onset without reason,9 cases were acute on-set,11 cases were caused by mild trauma or tired.The course of disease was from 15 days to 16 years,mean31 months.The pathological segment in 19 cases involved 2 segments,14 cases involved 3 segments,and 5 ca-ses involved 4 segments.Full-laminectomy decompression was performed via posterior in 5 cases,single-door de-compression in 1 case.Technique of bone fusion with reserving posteriolateral vertebral body wall was applied toimprove cervical structure stability and rate of bone fusion and reduce rate of complication of operation.Re-sults:All patients were followed up for 2 to 69 months,averaged 32 months.Bone fusion and good cervical se-quence and stability were found in all patients after 2 months of operation.According toJIA Lian-shuneffectstandard,the result were excellent in 19 cases,good in 14 cases,fair in 4 cases,poor in 1 case.
Conclusion:This method of anterior bone fusion with reserving posteriolateral vertebral body wall is an idea choice for treat-ment of cervical spondylotic myelopathy.It has the following advantages of sufficient decompression,little de-stroy of cervical structure,improving fusion area and rate of bone fusion because of posteriolateral vertebral body wall and few complications of operation. |
| KEY WORDS Cervical spondylotic myelopathy Decompression Bone transplantation |
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| 中文格式: | 占蓓蕾,叶舟.保留椎体后侧壁植骨治疗多节段脊髓型颈椎病[J].中国骨伤,2006,19(8):467~468 |
| 英文格式: | ZHAN Bei-lei,YE Zhou.Bone fusion with reserving posteriolateral vertebral body wall for treatment of multi-segment cervical spondylotic myelopathy[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(8):467~468 |
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