不同外科治疗方案在老年多节段脊髓型颈椎病患者中的疗效对比

发布时间：2018-07-23 13:17

【摘要】：目的探讨不同外科治疗方案在老年多节段脊髓型颈椎病患者中的效果。方法 108例老年多节段脊髓型颈椎病患者,采用随机数表法分为A组(n=54)和B组(n=54),给予A组颈椎前路单节段间盘切除合并椎间融合器植骨融合钛板内固定术治疗,给予B组颈椎前路椎体依次全切除联合钛网椎间植骨钛板内固定术治疗。比较两组临床疗效、骨融合率、视觉模拟评分(VAS)、日本骨科学会(JOA)评分、平均椎间隙高度和颈曲值。结果术后12个月两组有效率差异无统计学意义(P0.05)。两组植骨融合率差异有统计学意义(P0.05)。干预前两组JOA评分差异无统计学意义(P0.05),干预后B组VAS低于A组(P0.05)。干预前两组平均椎间隙高度差异无统计学意义(P0.05),干预后B组颈曲值低于A组(P0.05)。结论颈椎前路单节段间盘切除合并椎间融合器植骨融合钛板内固定术与颈椎前路椎体依次全切除联合钛网椎间植骨钛板内固定术治疗节段脊髓型颈椎病的临床疗效无显著差异,但前者的植骨融合率较高,VAS低,且能够较好地改善颈曲状况。
[Abstract]:Objective to investigate the effect of different surgical treatments in elderly patients with multilevel cervical Spondylotic myelopathy. Methods 108 elderly patients with multilevel cervical Spondylotic myelopathy were randomly divided into two groups: group A (n = 54) and group B (n = 54). Group B was treated with anterior cervical vertebra resection and titanium mesh intervertebral bone graft and titanium plate fixation. The clinical efficacy, bone fusion rate, visual analogue score (VAS), average intervertebral space height and cervical curvature were compared between the two groups. Results there was no significant difference in effective rate between the two groups 12 months after operation (P0.05). The rate of bone graft fusion was significantly different between the two groups (P0.05). There was no significant difference in JOA score between the two groups before intervention (P0.05). The VAS of group B was lower than that of group A after intervention (P0.05). There was no significant difference in the average intervertebral space height between the two groups before intervention (P0.05). After intervention, the cervical curvature in group B was lower than that in group A (P0.05). Conclusion there is no significant difference in the clinical effect between anterior single-segmental disc resection combined with intervertebral fusion cage fusion titanium plate internal fixation and anterior cervical vertebra resection combined with titanium mesh bone graft titanium plate fixation in the treatment of cervical Spondylotic myelopathy. But the fusion rate of the former is higher than that of VAS, and it can improve the cervical curvature.
【作者单位】：贵州省骨科医院脊柱科;
【分类号】：R687.3

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