| 锚定法单开门颈椎管扩大椎板成形术的临床应用 |
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Received:July 05, 2006
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| 作者 | Author | 单位 | Unit | E-Mail |
| 常保国 |
CHANG Bao-guo |
山西省人民医院骨科,山西太原030012 |
Department of Orthopaedics Surgery,Shanxi Provincial Hospital,Taiyuan 030012,Shanxi,China |
changbaoguo7288@163.com |
| 宋洁富 |
SONG Jie-fu |
山西省人民医院骨科,山西太原030012 |
Department of Orthopaedics Surgery,Shanxi Provincial Hospital,Taiyuan 030012,Shanxi,China |
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| 李利军 |
LI Li-jun |
山西省人民医院骨科,山西太原030012 |
Department of Orthopaedics Surgery,Shanxi Provincial Hospital,Taiyuan 030012,Shanxi,China |
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| 期刊信息：《中国骨伤》2007年20卷，第3期，第152-154页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:对颈脊髓压迫患者采用锚定法单开门颈椎管扩大椎板成形术治疗,观察其疗效。
方法:46例颈脊髓压迫症患者,23例采用锚定法单开门颈椎管扩大椎板成形术治疗,包括男19例,女4例;年龄32~71岁,平均48.4岁,其中12例为脊髓型颈椎病,11例为发育性颈椎管狭窄。23例采用改良Harabayashi单开门法(开门的椎板悬吊于门轴侧小关节囊韧带上)进行治疗,包括男16例,女7例;年龄33~70岁,平均47.3岁,其中14例为脊髓型颈椎病,9例为发育性颈椎管狭窄。观察术前术后颈部轴性症状的发生情况及颈椎总活动度的变化。
结果:锚定法组中术前有颈部轴性症状的6例,术后3个月增加到10例,12个月减少到4例。改良Harabayashi组术前有轴性症状的5例,术后3个月增加到20例,12个月为18例。锚定法组术后颈部轴性症状的发生率较改良Harabayashi单开门法低(P<0.001)。与术前相比,锚定法组中术后3个月颈椎总活动度增加4例,8例无变化,减少11例;12个月增加6例,10例无变化,减少7例。改良Harabayashi组中术后3个月颈椎总活动度无增加例数,2例无变化,减少21例;12个月3例无变化,减少20例。锚定法组对颈椎总活动度的影响较改良Harabayashi单开门法小(P<0.001)。
结论:锚定术式能明显减少术后颈部轴性症状的发生率,对颈椎总活动度影响小,是治疗颈脊髓压迫症的一种较好的手术方式。 |
| [关键词]:颈椎 脊髓压迫症 颈椎病 椎管狭窄 |
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| Clinical application of a modified open-door extensive laminoplasty of cervical spine using anchor method |
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Abstract:
Objective: To evaluate the clinical effect of a modified open-door extensive laminoplasty using anchor method for the treatment of patients with cervical spinal cord compression.
Methods: Forty-six patients with cervical spinal cord compression were reviewed in the study.Twenty-three patints(19 male and 4 female,ranging in age from 32 to 71 years,with an average of 48.4 years) were treated with modified open-door extensive laminoplasty using anchor method.Among the patients,12 patients were cervical spondylotic myelopathy,and 11 patients were developmental cervical spinal stenosis.Other 23 patients(16 male and 7 female,ranging in age from 33 to 70 years,with an average of 47.3 years)were treated with modified Harabayashi.Among the patients,14 patients were cervical spondylotic myelopathy,and 9 patients were developmental cervical spinal stenosis.The frequency and duration of cervical axial syndrome and range of motion were evaluated before and after operation.
Results: In anchor method group,6 patients had cervical axial syndrome before operation.At 3 months after operation,the same syndrome occurred in 10 patients,while decreased to 4 patients at 12 months after operation.In modified Harabayashi group,there are 5 patients with cervical axial syndrome before the operation.At 3 months after operation,the same syndrome occurred in 20 patients,and decreased to 18 patients at 12 months after operation.The incidence rate of cervical axial syndrome in anchor method group was lower than that of modified Harabayashi group(P<0.001).In anchor method group,4 patients had total range of motion of cervical spine increased,8 patients had no change,and 11 patients had the range of motion decreased at 3 months after operation.At 12 months after operation,the above number were 6,10,7 respectively.While in modified Harabayashi group,the above number was 0,2,21 at 3 months after operation,and 0,3,20 at 12 months after operation.The anchor method had less influence on the range of motion than the modified Harabayashi(P<0.001).
Conclusion: The anchor method operation is very effective to reduce frequency of postoperative axial syndrome and has little influence on the range of motion,which is a good method for treating compressive cervical spinal cord injury. |
| KEYWORDS:Cervical vertebrae Spinal cord compression Cervical spondylopathy Spinal stenosis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 常保国,宋洁富,李利军.锚定法单开门颈椎管扩大椎板成形术的临床应用[J].中国骨伤,2007,20(3):152~154 |
| 英文格式: | CHANG Bao-guo,SONG Jie-fu,LI Li-jun.Clinical application of a modified open-door extensive laminoplasty of cervical spine using anchor method[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(3):152~154 |
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