CAJ | 학술논문

目的：探讨颈椎后路单开门铆钉内固定治疗多节段脊髓型颈椎病的短期疗效。方法收集2011年1月-2013年3月新疆医科大学第六附属医院脊柱外科应用颈椎后路单开门铆钉内固定治疗多节段脊髓型颈椎病患者且获得随访的25例病例的临床资料。比较患者手术前后日本骨科学会JOA（Japanese Orthopedic Associa-tion）评分、颈椎功能障碍指数NDI（Neck Disability Index ），评估其术后神经功能障碍恢复及生活工作改善情况。结果应用颈椎后路单开门铆钉内固定治疗多节段脊髓型颈椎病，患者术后运动、感觉及疼痛恢复良好，未见明显术后并发症的发生，JOA评分由术前的（74．8±05．3）分增加至术后的（128．4±08．5）分，NDI评分由术前的（625．±41．）分降至术后的（464．±22．）分，在随访期间术后JOA、NDI评分与术前相比差异均有统计学意义（P ＜00．5）。结论后路单开门铆钉内固定治疗多节段脊髓型颈椎病的短期临床疗效较为满意，但是长期疗效尚待进一步观察。
목적：탐토경추후로단개문류정내고정치료다절단척수형경추병적단기료효。방법수집2011년1월-2013년3월신강의과대학제륙부속의원척주외과응용경추후로단개문류정내고정치료다절단척수형경추병환자차획득수방적25례병례적림상자료。비교환자수술전후일본골과학회JOA（Japanese Orthopedic Associa-tion）평분、경추공능장애지수NDI（Neck Disability Index ），평고기술후신경공능장애회복급생활공작개선정황。결과응용경추후로단개문류정내고정치료다절단척수형경추병，환자술후운동、감각급동통회복량호，미견명현술후병발증적발생，JOA평분유술전적（74．8±05．3）분증가지술후적（128．4±08．5）분，NDI평분유술전적（625．±41．）분강지술후적（464．±22．）분，재수방기간술후JOA、NDI평분여술전상비차이균유통계학의의（P ＜00．5）。결론후로단개문류정내고정치료다절단척수형경추병적단기림상료효교위만의，단시장기료효상대진일보관찰。
Objective To explore the short-term clinical efficacy of posterior cervical unilateral open-door expansive laminoplasty rivet for multilevel cervical spondylotic myelopathy .Methods A retrospective re-search was conducted on 25 cases with posterior cervical unilateral open-door expansive laminoplasty rivet for multilevel cervical spondylotic myelopathy from 2011 1.-2013 3. in No .6 Affiliated Hospital of Xinjiang Medical University to assess the post-operative recovery and improvement of the neurological dysfunction by comparing the Japanese Orthopaedic Association JOA (Japanese Orthopedic Association) score and the cervical dysfunction index NDI (Neck Disability Index ) pre-and-post the surgery .Results The patients with posterior cervical unilateral open-door expansive laminoplasty rivet for multilevel cervical spondylotic myelopathy had good recovery in the postoperative movement , sensation and pain relief , with no significant postoperative complications .JOA scores increased from preoperative (7 4.8 ± 0 5.3) to postopera-tive (12 8.4 ± 0 8.5);NDI scores reduced from the preoperative (62 5. ± 4 1.) to postoperative (46 4. ± 2 2.) , with statistically significant difference in JOA scores and NDI scores of the post-operation compared with those of the pre-operation during the follow-up (P <0 0.5) .Conclusion The short-term clinical efficacy of posterior cervical unilateral open-door expansive laminoplasty rivet for multilevel cervical spondylotic my-elopathy was satisfactory ,but the long-term efficacy remained to be studied .