单开门椎管扩大成形微型钛板固定术治疗多节段脊髓型颈椎病的疗效观察

发布时间：2018-05-22 10:05

本文选题：微型钛板 + 椎管扩大成形　；参考：《中国矫形外科杂志》2017年13期

【摘要】：[目的]观察多节段脊髓型颈椎病颈后路单开门椎管扩大成形微型钛板固定术的治疗效果。[方法]选自2012年1月~2014年6月本院收治的多节段脊髓型颈椎病患者42例,观察患者术前术后JOA评分、神经功能改善率、椎管扩大、颈部轴性症状及C5神经根麻痹发生情况。采用t检验,定义P0.05时差异具有统计学意义。[结果]所有患者均获得随访6~18个月,平均11.5个月。术前平均JOA评分(8.60±1.90)分,随访时平均JOA评分(13.12±1.88)分(P=0.001),神经功能改善率为28.57%~77.78%,1例出现轴性症状,颈部轴性症状发生率2.4%,C5神经根麻痹0例,术后测量X线片或CT、MRI椎管矢状径扩大7.1~10.9 mm,平均(9.48±0.83)mm。[结论]:多节段脊髓型颈椎病颈后路单开门椎管扩大成形微型钛板固定术治疗效果肯定,操作简单,减压效果好。
[Abstract]:[objective] to observe the therapeutic effect of multilevel cervical Spondylotic disease (MCSM) treated by single open door spinal canal expansion and mini-titanium plate fixation. [methods] A total of 42 patients with multilevel cervical Spondylotic myelopathy were selected from January 2012 to June 2014. The JOA score, the improvement rate of nerve function, the enlargement of the spinal canal, the cervical axonal symptoms and the incidence of C _ 5 nerve root paralysis were observed before and after operation. Using t test, the difference was statistically significant when P05 was defined. [results] all patients were followed up for 6 ~ 18 months with an average of 11.5 months. The average preoperative JOA score was 8.60 卤1.90, and the average JOA score was 13.12 卤1.88. The improvement rate of nerve function was 28.577.78%. The incidence of cervical axonal symptoms was 2.4C _ 5 nerve root palsy. The sagittal diameter of spinal canal was enlarged by X ray or CT MRI with an average of 9.48 卤0.83mm. Conclusion: the treatment of multisegmental cervical Spondylotic myelopathy by single open door spinal canal expansion and mini-titanium plate fixation is effective, simple and decompression.
【作者单位】：郑州市第153中心医院全军创伤骨科中心脊柱外科;
【分类号】：R687.3

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