CAJ | 학술논문

目的：探讨颈椎管后路单开门扩大成形术结合微型钛板内固定术治疗脊髓型颈椎病的临床疗效.方法以脊髓型颈椎病患者65例作为研究对象,通过JOA评分、JOA改善率、叩足试验评价神经功能改善状况,同时评价患者轴性症状和颈椎曲度的改变情况.结果患者术后影像学显示：内植物固定确实,未见内植物松动、折断及再关门征象.术前、术后J0A平均评分为(8.1±1.9)分,(14.6±2.2)分,改变明显(P <0.05),改善率为(73.1±6.5)%.术前、术后叩足试验FTT平均值为24.1±6.7,29.3±6.3,改变明显(P <0.05).结论颈椎后路单开门微型钛板固定术是治疗脊髓型颈椎病的一种简便、安全的方法,疗效确切,值得临床推广.
목적：탐토경추관후로단개문확대성형술결합미형태판내고정술치료척수형경추병적림상료효.방법이척수형경추병환자65례작위연구대상,통과JOA평분、JOA개선솔、고족시험평개신경공능개선상황,동시평개환자축성증상화경추곡도적개변정황.결과환자술후영상학현시：내식물고정학실,미견내식물송동、절단급재관문정상.술전、술후J0A평균평분위(8.1±1.9)분,(14.6±2.2)분,개변명현(P <0.05),개선솔위(73.1±6.5)%.술전、술후고족시험FTT평균치위24.1±6.7,29.3±6.3,개변명현(P <0.05).결론경추후로단개문미형태판고정술시치료척수형경추병적일충간편、안전적방법,료효학절,치득림상추엄.
Objectives To investigate the clinical effects of unilateral open-door cervical expansive laminoplasty plus mini titanium-plate fixation for cervical spondylotic myelopathy. Method 65 cases of cervical spondylotic myelopathy were taken as the research subjects. The neurological function improvement was evaluated according to the JOA score,JOA improvement rate and FTT(foot tapping test),meanwhile,the axial symptoms and the change of cervical curvature were also assessed. Results The radiographic findings after the operation showed that internal fixation was stable and firm without any screw loosing and breaking, and reclosing of any opened lamina. Preoperative JOA average score was 8. 1±1. 9,and postoperative JOA average score was 14. 6±2. 2,which showed an obvious change(P<0. 05),the improvement rate(73. 1±6. 5)%. The average score of preoperative FTT was 24 . 1 ± 6 . 7 , but the postoperative one was 29 . 3 ± 6 . 3 , there was a significant difference ( P<0 . 05 ) . Conclusion Unilateral open-door cervical expansive laminoplasty plus mini titanium-plate fixation is a convenient and satisfied method for the treatment of cervical spondylotic myelopathy.