CAJ | 학술논문

目的：分析颈前路椎间盘切除减压植骨融合术（ ACDF ）和颈后路椎板成形术（ PCL）治疗多节段颈椎病的初期临床疗效。方法行ACDF的18例多节段颈椎病患者被设为A组；行PCL术的15例为B组。分别比较两组术前、术后18个月的日本矫形外科协会（ JOA）评分、颈椎残障功能指数（NDI）、颈椎活动度（ROM）、视觉模拟疼痛评分（VAS）等指标，以及并发症情况。结果两组患者术前、术后18个月JOA评分、 NDI、 ROM比较差异均具有统计学意义（ P＜0.05）。术后12及18个月两组患者VAS比较差异有统计学意义（ P＜0.05）。 B组并发症发生率（7％）低于A组（39％）（P＜0.05）。结论 PCL治疗多节段颈椎病的初期临床疗效较好，但随访病例数较少，仍需收集多病例、长期随访，严格的评估其有效性和安全性。
목적：분석경전로추간반절제감압식골융합술（ ACDF ）화경후로추판성형술（ PCL）치료다절단경추병적초기림상료효。방법행ACDF적18례다절단경추병환자피설위A조；행PCL술적15례위B조。분별비교량조술전、술후18개월적일본교형외과협회（ JOA）평분、경추잔장공능지수（NDI）、경추활동도（ROM）、시각모의동통평분（VAS）등지표，이급병발증정황。결과량조환자술전、술후18개월JOA평분、 NDI、 ROM비교차이균구유통계학의의（ P＜0.05）。술후12급18개월량조환자VAS비교차이유통계학의의（ P＜0.05）。 B조병발증발생솔（7％）저우A조（39％）（P＜0.05）。결론 PCL치료다절단경추병적초기림상료효교호，단수방병례수교소，잉수수집다병례、장기수방，엄격적평고기유효성화안전성。
Objective To explore the initial clinical curative effects of anterior cervical diskectomy decompression and fusion ( ACDF ) and posterior cervical laminoplasty ( PCL ) in multi-segmental cervical spondylotic myelopathy.Methods ACDF was performed in 18 cases ( group A ) , PCL was performed in 15 patients ( group B ).Evaluation of preoperative patients respectively , at the end of the follow-up of Japanese or-thopaedic association (JOA), neck disability index (NDI), range of motion (ROM), visual analogue scale (VAS).Results JOA score, NDI score, ROM score difference were statistically significant (P<0.05) in the two groups before the operative and at the last follow-up.Complication rate of group B ( 7%) was lower than group A (39%) ( P<0.05).Conclusions The effect of PCL is satisfactory in the early follow-up fol-low-up.But it need further evaluation for more cases and long-term follow-up.