多节段前路减压植骨融合并钢板内固定术治疗脊髓型颈椎病
CHINA JOURNAL OF MODERN MEDICINE(2005)
Abstract
目的探讨多节段前路减压植骨融合钢板内固定术在脊髓型颈椎病中的应用价值.方法 38例脊髓型颈椎病患者,病变累及3个椎间隙者34例,4个椎间隙者4例.经颈前路椎体次全切除减压,取自体髂骨植骨融合,并行颈前路钢板固定.结果术中硬膜撕裂2例,术后咽痛6例.38例随访平均22.5个月,植骨于术后12~28周骨性愈合.术后恢复之椎间高度未发生再丢失现象,颈椎生理曲度维持良好.螺钉松动、钢板翘起3例.无钢板、螺钉折断等并发症.JOA评分平均提高8.4分,手术有效率为94.7%,优良率为78.9%.结论多节段前路减压植骨钢板内固定治疗脊髓型颈椎病能实现彻底减压,对脊髓功能恢复有重要意义.
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Key words
anterior multilevel decompression,plate fixation,autograft fusion
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