颈椎后路双开门椎板成形椎板固定器内固定术的疗效分析

发布时间：2018-02-06 00:47

本文关键词： 颈椎管狭窄症多节段颈椎间盘突出后纵韧带骨化症颈椎后路双开门椎管成形术 LA椎板固定器　出处：《中国骨与关节损伤杂志》2016年01期 　论文类型：期刊论文

【摘要】：目的观察采用LA椎板固定器行颈椎后路双开门椎管成形术治疗颈椎疾病的临床疗效。方法自2013-01—2015-01采用LA椎板固定器行颈椎后路双开门椎管成形术治疗颈椎疾病12例,观察患者术后神经功能恢复及颈部轴性症状发生情况。结果切口均一期愈合。术后植骨均完全融合,无内固定脱出、断裂。所有患者均获得随访6~18个月,平均12个月。骨性愈合时间3~6个月,平均3.5个月。末次随访时JOA评分(14.0±3.2)分,改善率平均62.9%;优4例,良6例,可2例。2例出现轴性症状,颈部轴性症状发生率16.7%。CT测量椎管矢状径扩大7~11 mm,平均8.2 mm;椎管扩大率85.1%~132.9%,平均96.2%。结论采用LA椎板固定器行颈椎后路双开门椎管成形术治疗颈椎疾病疗效肯定,操作简单,减压效果好。
[Abstract]:Objective To observe the clinical efficacy of LA posterior fixation for posterior cervical laminoplasty for the treatment of cervical diseases. Methods from 2013-01 - 2015-01 with LA laminectomy fixation for posterior cervical laminoplasty in the treatment of 12 patients with cervical vertebra disease, incidence of postoperative neurological function recovery and neck axial symptoms. Results the incision healed. Postoperative graft bone was completely fused, fixed prolapse, no fracture. All patients were followed up for 6~18 months, average 12 months. Bone healing time was 3~6 months, average 3.5 months. At the end of the follow-up JOA score (14 + 3.2) points, the average improvement rate of 62.9%; and in 4 cases, good in 6 cases, 2 cases of.2 patients had axial symptoms, neck axial symptom incidence 16.7%.CT measurement of sagittal diameter of spinal canal expansion of 7~11 mm, an average of 8.2 mm; spinal canal expansion rate 85.1%~132.9%, the average 96.2%. conclusion LA laminectomy fixation for cervical vertebral posterior double The treatment of cervical spondylosis with vertebral canal angioplasty is effective, simple and effective.

【作者单位】：滨州医学院烟台附属医院脊柱科;
【分类号】：R687.3

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