CAJ | 학술논문

目的探讨颈前路减压自体髂骨植骨融合钢板内同定术在治疗脊髓型颈椎病中的应用价值.方法 75例脊髓型颈椎病患者,病变累及1个节段23例,2个节段46例,3个节段6例.经颈前路减压,单间隙为开窗式,余为开槽式.加自体髂骨植骨,加带锁钢板内固定.结果平均随访12个月,植骨于术后4～5月完全骨性融合.术后恢复之椎间高度未发生丢失现象,颈椎生理曲度维持良好.无脊髓、血管损伤,无钢板、螺钉折断、滑脱等并发症,但有4例术后长期存在吞咽时异物感,有1例进食时有明显梗阻感.JOA评分由平均术前8.1分上升至术后14.1分.手术优良率夏为83.3%.结论颈前路减压植骨融合钢板内固定术治疗脊髓型颈椎病疗效可靠,宜使用低切迹颈前路钢板内固定.个节段23例,2个节段46例,3个节段6例.经颈前路减压,单间隙为开窗式,余为开槽式.加自体髂骨植骨,加带锁钢板内固定.结果平均随访12个月,植骨于术后4～5月完全骨性融合.术后恢复之椎问高度未发生丢失现象,颈椎生理曲度维持良好.无脊髓、血管损伤,无钢板、螺钉折断、滑脱等并发症,但有4例术后长期存在吞咽时异物感,有1例进食时有明显梗阻感.JOA评分由平均术前8.1分上升至术后14.1分.术优良率夏为83.3%.结论颈前路减压植骨融合钢板内固定术治疗脊髓型颈椎病疗效可靠,宜使用低切迹颈前路钢板内固定.个
목적 탐토경전로감압자체가골식골융합강판내동정술재치료척수형경추병중적응용개치.방법 75례척수형경추병환자,병변루급1개절단23례,2개절단46례,3개절단6례.경경전로감압,단간극위개창식,여위개조식.가자체가골식골,가대쇄강판내고정.결과 평균수방12개월,식골우술후4～5월완전골성융합.술후회복지추간고도미발생주실현상,경추생리곡도유지량호.무척수、혈관손상,무강판、라정절단、활탈등병발증,단유4례술후장기존재탄인시이물감,유1례진식시유명현경조감.JOA평분유평균술전8.1분상승지술후14.1분.수술우량솔하위83.3%.결론 경전로감압식골융합강판내고정술치료척수형경추병료효가고,의사용저절적경전로강판내고정.개절단23례,2개절단46례,3개절단6례.경경전로감압,단간극위개창식,여위개조식.가자체가골식골,가대쇄강판내고정.결과 평균수방12개월,식골우술후4～5월완전골성융합.술후회복지추문고도미발생주실현상,경추생리곡도유지량호.무척수、혈관손상,무강판、라정절단、활탈등병발증,단유4례술후장기존재탄인시이물감,유1례진식시유명현경조감.JOA평분유평균술전8.1분상승지술후14.1분.술우량솔하위83.3%.결론 경전로감압식골융합강판내고정술치료척수형경추병료효가고,의사용저절적경전로강판내고정.개
Objective: To observe, the effects of anterior cervical spine decompression and inter-body fusion with autologous iliac bone grafting and cervical spine locking plate fixation in treatment of cervical spondyiotic myelopathy (CSM). Methods The mentioned operatire methods were carried out in 75 patients with CSM. Of them,single intervertebral space involved in 23 cases,two involved in 46 cases,and three involved in 6 cases. Results The average follow-up period were 12 months. Solid fusion was obtained within 4 to 5 months postoperatively. The height of intervertebral spaces corrected by surgery were maintained and the physiological curve of cervical spine kept well. There were no spinal cord or vertebral artery injuries,no hardware failures and no spondylolysis. Four pa-tients had complained about long-time foreign body sensation and another one patient had had ob-structive dysphagia. The JOA score increased from 8.1 points preoperatively to 14.1 points postop-eratively. Total rate of the excellent and good were 83.3%. Conclusion Cervical spondylotic myelopathy can be effectively treated by anterior cervical spine decompression and interbody fusion with autografting and cervical spine locking plate fixation. The therapeutic effect may be influenced by different kinds of plate.