| 改良棘突重建在颈椎退变性疾病治疗中临床疗效观察 |
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Received:April 16, 2008
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| 期刊信息：《中国骨伤》2008年21卷，第8期，第600-602页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：报道应用改良棘突重建治疗颈椎退变性疾病的手术方法与效果。
方法：颈椎退变性疾病29例，男21例，女8例；年龄37～76岁，平均55岁。发病原因：无诱因突然发病4例，缓慢发病15例，外伤后发病10例。发病时间5 h ～25年，平均1年8个月。大部分患者有颈肩及肢体麻木感，其中伴有腱反射亢进10例，反射消失或减弱9例，肌张力增高10例，二便功能障碍4例。显示不同程度的生理弯曲减少5例、反曲2例，节段性不稳3例，多节段后纵韧带骨化5例，发育性椎管狭窄7例，多节段颈椎间盘突出17例。采用改良棘突重建的方法治疗颈椎退变性疾病。
结果：29例随访3个月～5年6个月，平均1年7个月。临床效果按JOA 17分评分标准：优(改善率>75%)18例，良(50%～75%)7例，中(25%～49%)3例，差(≤24%)1例；平均改善率57.2%,平均优良率86.6%.
结论：改良棘突重建法在脊髓减压彻底的同时维持颈椎序列稳定，避免或减少轴性症状及颈椎反曲畸形的发生。 |
| [关键词]:颈椎 退行性疾病 外科手术 |
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| Clinical therapeutic effect observation of using the modified reconstruction of spinous processes for treating cervical vertebrae degenerative disease |
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Abstract:
Objiective: To report clinical application and therapeutic effect on the modified reconstruction of spinous processes for treating cervical vertebrae degenerative disease.
Methods: Twenty-nine cases with cervical vertebrae degenerative disease were treated with the modified reconstruction of spinous processes. Among them,21 cases were male and 8 cases were female. The age was from 37 to 76 years with an average age of 55 years. Of them,4 cases occured immediately with no factors, 15 cases occured chronically,and 10 cases occured following substantial trauma. The last-time of disease was 5 h to 25 years, with an average of 1 year and 8 months.
Results: After 3 months to 5 years and 6 months followed-up,the results were excellent in 18 cases(recovery rate >75%),good in 7 cases(recovery rate 50% to 75%), fair in 3 cases(recovery rate 25% to 49%),poor in 1 case(recovery rate ≤24%)with average recovery rate 86.6% according to JOA 17 score system.
Conclusion: The reconstruction of spinous processes may be an effective measure in spinal decompression absolutely, meanwhile, it can maintain the spinal sequences stable,also can avoid or reduce the axial symptoms and the correction of cervical kyphosis. |
| KEYWORDS:Cervical vertebrae Degenerative diseases Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 占蓓蕾,叶舟.改良棘突重建在颈椎退变性疾病治疗中临床疗效观察[J].中国骨伤,2008,21(8):600~602 |
| 英文格式: | ZHAN Bei-lei,YE Zhou.Clinical therapeutic effect observation of using the modified reconstruction of spinous processes for treating cervical vertebrae degenerative disease[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(8):600~602 |
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