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发育性颈椎管狭窄合并脊髓型颈椎病的手术治疗

Hits: 2161 Download times: 1331 Received:August 23, 2002

作者	Author	单位	Unit	E-Mail
苏明海	SU Minghai	安徽医科大学第一附属医院骨科,安徽合肥 230022	The First Affiliated Hospital of Anhui Medical University, Anhui HeHui 230022
张建湘	ZHANG Jianxiang	安徽医科大学第一附属医院骨科,安徽合肥 230022	The First Affiliated Hospital of Anhui Medical University, Anhui HeHui 230022
杨庆国	YANG Qingguo	安徽医科大学第一附属医院骨科,安徽合肥 230022	The First Affiliated Hospital of Anhui Medical University, Anhui HeHui 230022
申才良		安徽医科大学第一附属医院骨科,安徽合肥 230022	The First Affiliated Hospital of Anhui Medical University, Anhui HeHui 230022

期刊信息：《中国骨伤》2003年16卷，第7期，第398-400页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的:探讨发育性颈椎管狭窄合并颈椎病的安全、有效、合理的治疗方法。

方法:回顾性分析并对109例发育性颈椎管狭窄合并脊髓型颈椎病的治疗进行总结,其中采用Cloward环锯法手术20例,采用颈椎体次全切除治疗62例,采用单开门颈椎管扩大成形术27例。前路手术同期均采取自体髂骨植骨融合。

结果 109例中95例获12～76个月的随访,平均随访36个月,优良率81/1%,改善率37%～84%,平均734%,无脊髓、神经根或椎动脉损伤等并发症的发生。

结论:对于发育性颈椎管狭窄合并脊髓型颈椎病前路、后路各种术式有着各自不同的适应证,选择合理的治疗手段十分重要。

[关键词]:颈椎病扩张术椎管狭窄骨移植回顾性研究

Surgical treatment for developmental cervical stenosis accompanied with cervical spondylotic myelopathy

Abstract:

Objective:To investigate an effective and safe surgical Methods for the treatment of developmental cervical stenosis accompanied with cervical spondylotic myelopathy

Methods:109 cases of developmental cervical stenosis accompanied with cervical spondylosis myelopathy were reviewed and analyzed.20 cases were operated with Cloward method,62 cases with anterior subtotal veterbrectomy and 27 cases with the single-open-door cervical laminoplasty.Anterior fusion with grafting was done in all these cases.

Results:95 cases were followed up from 12 to 76 months,with an average of 36 months.These cases were evaluated using the scoring system of the Japanese Orthopedics Association(JOA score).The excellent and good rate was 81.1%,the fair rate was 73.4%.No spinal cord injury,no nerve root injury,no veterbral artery injury were observed.

Conclusion:Both anterior and posterior surgical procedures are safe and effective Methods for the treatment of developmental cervical stenosis accompanied with cervical spondylotic myelopathy.It is important for clinician to select a perfect indication.

KEYWORDS:Cervical spondylopathy Dilatation Spinal stenosis Bone transplantation Retrospective studies

引用本文，请按以下格式著录参考文献：

中文格式:	苏明海,张建湘,杨庆国,申才良.发育性颈椎管狭窄合并脊髓型颈椎病的手术治疗[J].中国骨伤,2003,16(7):398~400
英文格式:	SU Minghai,ZHANG Jianxiang,YANG Qingguo.Surgical treatment for developmental cervical stenosis accompanied with cervical spondylotic myelopathy[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(7):398~400

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