中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
4期
535-540
,共6页
植入物%脊柱植入物%颈椎%颈椎后纵韧带骨化%颈椎前后路联合%前路减压%后路减压
植入物%脊柱植入物%頸椎%頸椎後縱韌帶骨化%頸椎前後路聯閤%前路減壓%後路減壓
식입물%척주식입물%경추%경추후종인대골화%경추전후로연합%전로감압%후로감압
cervical vertebrae%ossification,posterior longitudinal ligament%decompression%internal%fixators
背景：高位、多节段严重颈椎后纵韧带骨化症是采用单纯前路，还是采用前后路联合入路治疗方式存在争议。<br> 目的：对比分析前路及前后路联合治疗高位、多节段严重颈椎后纵韧带骨化症的差异。<br> 方法：选择高位、多节段严重颈椎后纵韧带骨化症患者21例。男9例，年龄在56-72岁；女12例，年龄在58-70岁。病变位于C2-5间11例，C3-7之间10例。其中11例采用单纯颈椎前路减压、钛网植骨融合内固定治疗；10例采用颈椎后纵韧带骨化切除、前路钛网钢板螺钉内固定、后路侧块螺钉内固定联合治疗。治疗结果采用JOA评分标准，计算优良率及改善率。<br> 结果与结论：10例采取前后路联合治疗方法患者优良率为90%，改善率为82%。11例单纯采取颈椎前路治疗方法的患者中优良率为73%，改善率为73%。两组优良率比较及改善率比较，差异均有显著性意义(P <0.05)。从而说明高位、多节段严重颈椎后纵韧带骨化症采用颈椎后纵韧带骨化切除、前路钛网钢板螺钉内固定、后路侧块螺钉内固定是一种较好的治疗方式。
揹景：高位、多節段嚴重頸椎後縱韌帶骨化癥是採用單純前路，還是採用前後路聯閤入路治療方式存在爭議。<br> 目的：對比分析前路及前後路聯閤治療高位、多節段嚴重頸椎後縱韌帶骨化癥的差異。<br> 方法：選擇高位、多節段嚴重頸椎後縱韌帶骨化癥患者21例。男9例，年齡在56-72歲；女12例，年齡在58-70歲。病變位于C2-5間11例，C3-7之間10例。其中11例採用單純頸椎前路減壓、鈦網植骨融閤內固定治療；10例採用頸椎後縱韌帶骨化切除、前路鈦網鋼闆螺釘內固定、後路側塊螺釘內固定聯閤治療。治療結果採用JOA評分標準，計算優良率及改善率。<br> 結果與結論：10例採取前後路聯閤治療方法患者優良率為90%，改善率為82%。11例單純採取頸椎前路治療方法的患者中優良率為73%，改善率為73%。兩組優良率比較及改善率比較，差異均有顯著性意義(P <0.05)。從而說明高位、多節段嚴重頸椎後縱韌帶骨化癥採用頸椎後縱韌帶骨化切除、前路鈦網鋼闆螺釘內固定、後路側塊螺釘內固定是一種較好的治療方式。
배경：고위、다절단엄중경추후종인대골화증시채용단순전로，환시채용전후로연합입로치료방식존재쟁의。<br> 목적：대비분석전로급전후로연합치료고위、다절단엄중경추후종인대골화증적차이。<br> 방법：선택고위、다절단엄중경추후종인대골화증환자21례。남9례，년령재56-72세；녀12례，년령재58-70세。병변위우C2-5간11례，C3-7지간10례。기중11례채용단순경추전로감압、태망식골융합내고정치료；10례채용경추후종인대골화절제、전로태망강판라정내고정、후로측괴라정내고정연합치료。치료결과채용JOA평분표준，계산우량솔급개선솔。<br> 결과여결론：10례채취전후로연합치료방법환자우량솔위90%，개선솔위82%。11례단순채취경추전로치료방법적환자중우량솔위73%，개선솔위73%。량조우량솔비교급개선솔비교，차이균유현저성의의(P <0.05)。종이설명고위、다절단엄중경추후종인대골화증채용경추후종인대골화절제、전로태망강판라정내고정、후로측괴라정내고정시일충교호적치료방식。
BACKGROUND:It is controversial whether anterior approach alone, or combined anterior and posterior approaches were used for high level and multiple segments of severe ossification of cervical posterior longitudinal ligament. <br> OBJECTIVE:To explore the difference of anterior approach versus combined anterior and posterior approaches for the treatment of high level and multiple segments of severe ossification of cervical posterior longitudinal ligament. <br> METHODS:A total of 21 cases of high level and multiple segments of severe ossification of cervical posterior longitudinal ligament were included in this study. There were 9 males, aged 56-72 years, and 12 females, aged 58-70 years. We used anterior decompression and titanium mesh bone graft fusion in 11 cases which lesion located between C2-5 vertebra, and ossification excision, combined anterior (titanium mesh plate and screw) and posterior (lateral mass screw) approaches in 10 cases which between C3-7 vertebra. Japanese Orthopaedic Association score system was used to evaluate the results. The excellent and good rate and improvement rate were calculated. <br> RESULTS AND CONCLUSION:The excellent and good rate was 90%and improvement rate was 82%in 10 cases using combined anterior and posterior approaches. The excellent and good rate was 73%and improvement rate was 73%in 11 cases using anterior treatment alone. Significant differences in the excellent and good rate and improvement rate were detected between the two groups (P<0.05). These suggested that combined anterior and posterior approaches for high level and multiple segments of severe ossification of cervical posterior longitudinal ligament is a better operative procedure.
