CAJ | 학술논문

目的探讨比较脊髓型颈椎病前路手术和后路手术的术后功能恢复效果.方法对63例脊髓型颈椎病患者手术前后功能恢复情况进行回顾性分析.前路组为39例行前路减压+植骨及固定或不用固定手术患者,后路组为24例行后路椎板减压、单开门或双开门术患者,术后定期复查.结果通过平均26个月的随诊,术后两组患者远期功能恢复、颈椎总活动度比较差异均有统计学意义,但两组术后骨性融合率比较差异无统计学意义.结论脊髓型颈椎病患者行前后路手术都可以使颈椎融合稳定,后路手术相比前路会使颈椎活动范围减少,柔韧性下降,远期功能恢复情况与前路相比亦差.
목적 탐토비교척수형경추병전로수술화후로수술적술후공능회복효과.방법 대63례척수형경추병환자수술전후공능회복정황진행회고성분석.전로조위39례행전로감압+식골급고정혹불용고정수술환자,후로조위24례행후로추판감압、단개문혹쌍개문술환자,술후정기복사.결과 통과평균26개월적수진,술후량조환자원기공능회복、경추총활동도비교차이균유통계학의의,단량조술후골성융합솔비교차이무통계학의의.결론 척수형경추병환자행전후로수술도가이사경추융합은정,후로수술상비전로회사경추활동범위감소,유인성하강,원기공능회복정황여전로상비역차.
Objective To compare the postoperative functional recovery of anterior and posterior approach operation for cervical spondylotic myelopathy.Methods The functional reovery information of 63 patients with cervical spondylotic myelopathy were retrospectively analyzed.Thirty-nine cases in anterior approach group were given anterior decompression,bone graft,fixed or not fixed,24 cases in posterior approach group were given posterior vertebral plate depression,mono-open-door or ambo-open-door.Results Through the average period of 26 months follow-up,there were significant differences between the two groups in the results of long-term functional recovery and ROM( range of motion) of cervical vetebra,but there was no significant difference between the two groups in solid interbody fusion.Conclusions The anterior and posterior approach operation in treating cervical spondylotic myelopathy can both make cervical vertebral fusion stable.Posterior approach operation decreases more the ROM and the flexibility of cervical spine and the long-term result is worse than anterior approach operation.