摘要
目的:探究单开门椎管扩大成形微型钛板置入对颈椎病患者神经功能的影响,分析颈椎临床疗效参数与颈椎矢状面参数的相关性。方法:选取医院收治的90例颈椎后纵韧带骨化症或多节段颈椎病的患者,所有患者均行单开门椎管扩大成形微型钛板置入治疗,随访时间>6个月,比较患者的术前、术后及末次随访的影像学参数和临床疗效参数。结果:90例患者术后末次随访的C2~C7矢状面轴向距离、颈部目测类比评分和日本骨科协会(JOA)评分较术前增加,其差异有统计学意义(t=-2.371,t=-3.914,t=-22.345;P<0.05);术后末次随访的颈椎功能障碍指数较术前减少,其差异有统计学意义(t=6.323,P<0.05);90例患者的颈椎临床疗效参数与颈椎矢状面参数均无相关性。结论:单开门椎管扩大成形微型钛板置入术能明显改善颈椎病患者的神经功能,且颈椎临床疗效参数和矢状位参数无明显相关性。
Objective:To investigate effect of single open-door laminoplasty with mini titanium plate implantation for neurological function of patient with cervical spondylosis,and analyze the correlation-ship between the parameters of clinical effects and parameters of vertical plane of cervical vertebra.Methods:90patients with ossification of posterior longitudinal ligament(OPLL)of cervical vertebra or multi-segment cervical spondylosis were enrolled in the research.All of them were implemented the treatment of single open-door laminoplasty with mini titanium plate implantation,and they were followed up for more than6 months.The iconography parameters and clinical effect parameters of patients among pre-operation,post-operation and last follow up were compared and analyzed.Results:The C2～C7axial distance of vertical plane,visual test analogue scores of neck and JOA scores of90patients at the last follow-up were significant higher than that of preoperative results(t=-2.371,t=3.914,t=22.345,P<0.05),respectively,and the dysfunction index of cervical vertebra of the last follow up were significant lesser than that of pre-operation(t=6.323,P<0.05).There were no correlations-ship between the clinical effect parameters and vertical plane parameters of cervical vertebra of90patients.Conclusion:The single open-door laminoplasty with mini titanium plate implantation can significantly improve the neurological function of patients with cervical spondylosis,and there is no significant correlation-ship between clinical effect parameter and sagittal view parameter.
作者
雷云峰
高山松
LEI Yun-feng;GAO Shan-song(Department of Orthopedics, Yulin No.2 Hospital, Yulin 719000, China)
出处
《中国医学装备》
2017年第12期71-74,共4页
China Medical Equipment
关键词
椎管扩大成形术
单开门
颈椎病
神经功能
矢状面
Laminoplasty
Single open-door
Cervical spondylosis
Neurological function
Sagittal plane
