摘要
目的 探讨前路减压植骨融合内固定治疗Ferguson Ⅱ型脊髓型颈椎病的疗效。方法自1989年6月至2005年12月共收治Ferguson Ⅱ型脊髓型颈椎病患者36例，其中30例行颈前路椎管减压、植骨融合治疗，余6例采用保守治疗，对治疗效果进行随访观察。结果随访10个月～2年（平均18个月），36例患者均获随访，手术组30例术后所有患者根性症状明显缓解，根据姜宏等提出的根性颈椎病的疗效评定方法进行疗效分析发现，手术前后评分之间存在显著性差异（自身t检验，P＜0．05）；保守组6例患者治疗前后评分无显著性差异（自身t检验，P＞0.05）。手术组和保守组疗效之间存在显著性差异（校正X^2检验，P＜0．05）。结论 对于诊断明确的3个节段以内的Ferguson Ⅱ型脊髓型颈椎病可采用前路减压植骨融合内固定治疗，该手术能够彻底解除脊髓压迫、缓解症状、稳定颈椎并有效避免该病复发。
Objective To evaluate the efficiency of anterior decompression and internal fixation treatment on Ferguson Ⅱ type cervical spondylotic myelopathy diseases. Methods 36 patients were enrolled, retrospectively, from July 1989 through December 2005. All these patients were diagnosed as lateral spinal cord compression derived cervical radiculopathy, 30 patients took the anterior decompression and plate internal fixation while the other 6 selected conservative treatment. Results All the patients were followed from 10 months to 2 years, the radiculopathy syndromes of surgery group 30 patients were released enormously. According to the score system raised by Jiang Hong etc, all the patients had significant alleviated the syndroms after surgery （P〈0.05）; While the other 6 patients who treated conservatively had not alleviated the symptoms at all, and there were no difference after the therapy（P〉0. 05）. Conclusion It was an effective way to treat the Ferguson Ⅱ type cervical spondylotic myelopathy diseases by anterior decompression and plate internal fixation, especially when it was incisively diagnosed and the related levels were less than 3.
出处
《实用骨科杂志》
2006年第5期389-392,共4页
Journal of Practical Orthopaedics
基金
天津市科委自然科学基金组资助课题(043609011)
关键词
前路减压
植骨融合
脊髓型颈椎病
anterior decompression
bone transport and fusion
cervical spondylotic myelopathy
