摘要
目的:探讨后路椎管后壁切除减压、钉棒系统内固定治疗伴后凸畸形的多节段脊髓型颈椎病的疗效。方法:2004年3月～2006年1月对15例伴后凸畸形的多节段脊髓型颈椎病患者行后路椎管后壁(全椎板及平双侧椎弓根内壁以内的侧块)切除减压、小关节植骨融合、钉棒系统内固定术(椎弓根螺钉6例,侧块螺钉9例)。根据术前、术后10d、术后6个月颈椎标准侧位X线片测量后凸Cobb角,以JOA评分评估神经功能改善情况。结果:随访6～24个月,平均10个月,均获骨性融合。术后6个月时JOA评分与术前比较有显著性差异(P<0.05),平均改善率为65.1%。术后10d后凸Cobb角与术前相比有显著性差异(P<0.05),术后6个月时后凸Cobb角与术后10d比较无统计学差异(P>0.05)。结论:后路椎管后壁切除减压、钉棒内固定术是治疗伴后凸畸形的多节段脊髓型颈椎病的可行、有效的方法。
Objective：To evaluate surgical treatment for multilevel cervical spondylotic myelopathy with cervical kyphosis.Method：Six patients with cervical spondylotic myelopathy with cervical kyphosis underwent correction and fusion using pedicle screw after laminectomy.Other nine patiens by lateral plate mass before laminectomy.The JOA（Japanese Orthopedic Assciation） scores and kyphosis angle were oberserved.Result：All cases were followed-up for 10 months on an average.According to JOA score evaluation,the mean score of all cases was increased from 8.9±1.6 to 14.7±2.2 at the final follow-up.The average preoperative cervical kyphosis was improved 23.4° after surgery and the kyphosis angle was lost a little at the final follow-up.Conclusion：Pedicle screw or lateral plate mass fixation system with laminectomy and fusion can provide satisfactory clinical outcomes in the treatment of multilevel cervical spondylotic myelopathy with cervical kyphosis.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2007年第1期28-31,共4页
Chinese Journal of Spine and Spinal Cord
关键词
后凸畸形
脊髓型颈椎病
后路减压
内固定
Cervical kyphosis
Multilevel cervical spondylotic
Posterior decompression
Fixation systems
