摘要
目的 :探讨椎体次全切除植骨融合术辅以早期康复治疗脊髓型颈椎病的方法。方法 :10 3例脊髓型颈椎病患者采用椎体次全除术 ,术后给予塑质围领或头颈胸石膏固定 3个月 ,同时进行早期康复功能训练。根据JOA评分和术后X线片 ,判定改善率和植骨区骨性融合。结果 :10 3例获得 12～ 79个月 ,平均 2 9个月的随访。X线片检查 ,切除 1～ 2个椎体患者 ,术后 3～ 4个月植骨区骨性融合 ;切除 3个椎体术后 5～ 6个月获骨性融合 ,优良率 86 .4% ,改善率平均 71.3%。无脊髓、神经根或椎动脉等损伤并发症 ,无植骨块脱出和颈椎假关节形成。结论 :椎体次全切除植骨融合术辅以早期康复治疗脊髓型颈椎病是一种值得推荐的方法。
Objective: To observe the treatment of cervical spondylotic myelopathy by expansive subtotal vertebrectomy and fusion combined with early rehabilitation. Methods: 103 patients were subjected to this procedure with the cranio-ceruicothoracic plaster immobilization for 3 months after the operation. Early rehabilitation was performed to restore the function. The rate of recovery was assessed according to JOA Score System. Bone union of the graft was decided according to the posteroanterior and lateral roentegenogram. Results: 103 patients undergoing operation were followed up for a mean period of 29 months (range: 12 to 79 months). Vertebrectomy of one-two centra could obtain interbody fusion within 3 to 4 months, while vertebrectomy of three centra could achieve interbody infusion within 3-4 months after operation. The excellent and mean recovery rate was 86.4% and 71.3% respectively. Conclusion: Canal expansive subtotal vertebrectomy and fusion combined with early rehabilitation is recommended for the cervical spondylotic myelopathy combined with local developmental canal stenosis.
出处
《中国康复》
2002年第4期217-219,共3页
Chinese Journal of Rehabilitation
关键词
康复治疗
脊髓型颈椎病
前路减压
椎体次全切除
cervical spondylotic myelopathy
anterior decompression
subtotal vertebrectomy
rehabilitation
