CAJ | 학술논문

目的：评价Arthrex锚钉在颈椎单开门椎管成形术中的临床应用价值，报告其近期随访结果。方法单开门椎管扩大椎板成形术68例纳入研究，其中35例使用Arthrex锚钉行门轴侧固定为观察组，另33例采用传统缝线悬吊门轴为对照组。对两组的临床和影像学指标进行统计分析。结果两组患者均获随访，随访时间12～36个月，平均26个月。手术时间、出血量两组比较差异无统计学意义（ P＞0．05）。末次随访时，JOA评分、改善率、椎管面积改变、颈椎活动度、颈椎曲度改变，两组比较差异有统计学意义（ P＜0．05）。结论 Arthrex锚钉应用于颈椎单开门椎管扩大椎板成形术中，操作安全，近期疗效满意。
목적：평개Arthrex묘정재경추단개문추관성형술중적림상응용개치，보고기근기수방결과。방법단개문추관확대추판성형술68례납입연구，기중35례사용Arthrex묘정행문축측고정위관찰조，령33례채용전통봉선현조문축위대조조。대량조적림상화영상학지표진행통계분석。결과량조환자균획수방，수방시간12～36개월，평균26개월。수술시간、출혈량량조비교차이무통계학의의（ P＞0．05）。말차수방시，JOA평분、개선솔、추관면적개변、경추활동도、경추곡도개변，량조비교차이유통계학의의（ P＜0．05）。결론 Arthrex묘정응용우경추단개문추관확대추판성형술중，조작안전，근기료효만의。
Objective To evaluate the efficacy and short-term results of Arthrex anchor in cervical expansive open-door laminoplasty (ELAP).Methods A total of 68 cases of cervical spondylotic myelopathy (CSM) were assessed in this study.35 pa-tients undergoing ELAP by Arthrex anchor were classified as study group .33 patients undergoing conventional ELAP served as controls . The clinical results and radiological exam inations of both groups were evaluated .Results All patients were followed up 12 -36 months (mean,26 months).There were no significant differences in operation time ,bleeding quantity (P>0.05).At last follow-up,the JOA score,cervical spinal area ,range of motion ( ROM ) and cervical curvature index ( CCI) of the study group and the control group were significantly improved when compared with preoperative ones ( P<0.05).Conclusion The expansive open-door laminoplasty with suture anchor fixation is convenient and safe for clinical application .Recent results were satisfactory .