中国骨科临床与基础研究杂志
中國骨科臨床與基礎研究雜誌
중국골과림상여기출연구잡지
CHINESE JOURNAL OF CLINICAL AND BASIC ORTHO[AEDIC RESEARCH
2013年
5期
278-281
,共4页
张非%李青%张爱明%梁道臣
張非%李青%張愛明%樑道臣
장비%리청%장애명%량도신
颈椎病%多节段%减压术,外科%骨移植%骨板%髓核成形术
頸椎病%多節段%減壓術,外科%骨移植%骨闆%髓覈成形術
경추병%다절단%감압술,외과%골이식%골판%수핵성형술
Cervical spondylosis%Multilevel%Decompression,surgical%Bone transplantation%Bone plates%Neucleoplasty
目的:探讨前路减压植骨内固定联合等离子髓核成形术治疗多节段受累颈椎病的临床效果。方法回顾性分析2012年3月至12月中山市人民医院采用前路减压植骨内固定结合等离子髓核成形术治疗的30例多节段受累颈椎病患者的临床资料,采用日本骨科学会(JOA)评分对术后临床症状改善情况进行评价。结果30例患者均获得有效随访,随访时间4~9个月(平均6.8个月)。患者术前不适症状均有不同程度改善,无神经功能加重及内固定松动、骨笼脱出等严重并发症发生。术后3个月JOA评分为(14±1)分,较术前的(10±2)分明显改善(t =8.143,P=0.000),JOA改善率为45%。结论前路减压植骨内固定结合等离子髓核成形术治疗多节段受累颈椎病近期效果稳定,并发症少。
目的:探討前路減壓植骨內固定聯閤等離子髓覈成形術治療多節段受纍頸椎病的臨床效果。方法迴顧性分析2012年3月至12月中山市人民醫院採用前路減壓植骨內固定結閤等離子髓覈成形術治療的30例多節段受纍頸椎病患者的臨床資料,採用日本骨科學會(JOA)評分對術後臨床癥狀改善情況進行評價。結果30例患者均穫得有效隨訪,隨訪時間4~9箇月(平均6.8箇月)。患者術前不適癥狀均有不同程度改善,無神經功能加重及內固定鬆動、骨籠脫齣等嚴重併髮癥髮生。術後3箇月JOA評分為(14±1)分,較術前的(10±2)分明顯改善(t =8.143,P=0.000),JOA改善率為45%。結論前路減壓植骨內固定結閤等離子髓覈成形術治療多節段受纍頸椎病近期效果穩定,併髮癥少。
목적:탐토전로감압식골내고정연합등리자수핵성형술치료다절단수루경추병적림상효과。방법회고성분석2012년3월지12월중산시인민의원채용전로감압식골내고정결합등리자수핵성형술치료적30례다절단수루경추병환자적림상자료,채용일본골과학회(JOA)평분대술후림상증상개선정황진행평개。결과30례환자균획득유효수방,수방시간4~9개월(평균6.8개월)。환자술전불괄증상균유불동정도개선,무신경공능가중급내고정송동、골롱탈출등엄중병발증발생。술후3개월JOA평분위(14±1)분,교술전적(10±2)분명현개선(t =8.143,P=0.000),JOA개선솔위45%。결론전로감압식골내고정결합등리자수핵성형술치료다절단수루경추병근기효과은정,병발증소。
Objective To explore clinical effect of anterior decompression, bone grafting and internal fixation combined with coblation neucleoplasty in the treatment of multilevel cervical spondylosis. Methods Clinical data of 30 patients with multilevel cervical spondylosis from March 2012 to December 2012 were retrospectively analyzed and all of them were treated by mono-segmented cervical anterior decompression, bone grafting and internal fixation combined with coblation neucleoplasty in Zhongshan People's Hospital. Clinical effects were evaluated by Japanese Orthopaedic Association (JOA) score. Results All patients obtained follow-up with the average time of 6.8 months (4-9 months). Discomfort symptoms were improved after the operation. No nerve function aggravation occurred, also, no serious complications such as internal fixation loosening or cage pull-out had happened. Compared to preoperative JOA score, JOA score at 3 months postoperatively was improved from (10 ± 2) to (14 ± 1) (t = 8.143,P = 0.000), JOA improvement rate was 45%. Conclusions Mono-segmented cervical anterior decompression, bone graft fusion combined with nucleus pulposus coblation is recommended technique for multilevel cervical spondylosis by its stable short-term effects and less complications.