天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2015年
2期
199-202
,共4页
福嘉欣%江汉%江毅%肖联平%田永刚
福嘉訢%江漢%江毅%肖聯平%田永剛
복가흔%강한%강의%초련평%전영강
脊髓型颈椎病%Hybrid手术%多节段
脊髓型頸椎病%Hybrid手術%多節段
척수형경추병%Hybrid수술%다절단
cervical spondylotic myelopathy%Hybrid Surgery%multi segmental
目的:探讨颈椎前路经椎间隙或椎体次全切除减压植骨融合联合邻近节段人工间盘置换(Hybrid Surgery)在颈前路多节段脊髓型颈椎病治疗中的效果。方法应用Hybrid Surgery术式治疗颈前路多节段脊髓型颈椎病患者18例。随访1~50个月,手术前后根据日本骨科协会评估分数(JOA)进行评分。通过JOA评分的改善情况, Odom’s分级随访结果及颈椎活动度的变化评价Hybrid Surgery的效果。结果18例术后JOA评分(13.5±2.4)分高于术前(10.6±1.7)分,差异有统计学意义(t=1.314,P<0.05)。18例中16例显效,2例有效。Odom’s分级评价优6例,良11例,可1例。术后颈椎运动范围(40.1°±8.4°)与术前(42.6°±11.9°)颈椎运动范围差异无统计学意义(t=0.68, P>0.05)。结论 Hybrid Surgery术式颈前路充分减压融合,既可改善患者神经功能,又可保留一定程度上的颈椎活动度。
目的:探討頸椎前路經椎間隙或椎體次全切除減壓植骨融閤聯閤鄰近節段人工間盤置換(Hybrid Surgery)在頸前路多節段脊髓型頸椎病治療中的效果。方法應用Hybrid Surgery術式治療頸前路多節段脊髓型頸椎病患者18例。隨訪1~50箇月,手術前後根據日本骨科協會評估分數(JOA)進行評分。通過JOA評分的改善情況, Odom’s分級隨訪結果及頸椎活動度的變化評價Hybrid Surgery的效果。結果18例術後JOA評分(13.5±2.4)分高于術前(10.6±1.7)分,差異有統計學意義(t=1.314,P<0.05)。18例中16例顯效,2例有效。Odom’s分級評價優6例,良11例,可1例。術後頸椎運動範圍(40.1°±8.4°)與術前(42.6°±11.9°)頸椎運動範圍差異無統計學意義(t=0.68, P>0.05)。結論 Hybrid Surgery術式頸前路充分減壓融閤,既可改善患者神經功能,又可保留一定程度上的頸椎活動度。
목적:탐토경추전로경추간극혹추체차전절제감압식골융합연합린근절단인공간반치환(Hybrid Surgery)재경전로다절단척수형경추병치료중적효과。방법응용Hybrid Surgery술식치료경전로다절단척수형경추병환자18례。수방1~50개월,수술전후근거일본골과협회평고분수(JOA)진행평분。통과JOA평분적개선정황, Odom’s분급수방결과급경추활동도적변화평개Hybrid Surgery적효과。결과18례술후JOA평분(13.5±2.4)분고우술전(10.6±1.7)분,차이유통계학의의(t=1.314,P<0.05)。18례중16례현효,2례유효。Odom’s분급평개우6례,량11례,가1례。술후경추운동범위(40.1°±8.4°)여술전(42.6°±11.9°)경추운동범위차이무통계학의의(t=0.68, P>0.05)。결론 Hybrid Surgery술식경전로충분감압융합,기가개선환자신경공능,우가보류일정정도상적경추활동도。
Objective To investigate the effect of corpectomy decompression by subtotal vertebrectomy and fusion of adjacent segmental artificial disc replacement through anterior intervertenral spance (Hybrid Surgery) in the anteriorcervical spondylotic myelopathy treatment . Methods Hybrid Surgery were operated on 18 patients who suffered from anterior cervi?cal spondylotic myelopathy . Follow up of 1-50 months. Patient’s conditions were assessed according to the Japanese Associ?ation for Department of orthopedics assessment score (JOA score) before and after operation. Effects of Hybrid operation were assessed by the improvement of JOA score, Odom’s follow-up grade and cervical mobility . Results The JOA scores of all 18 operated patients were improved from 10.6 ± 1.7 before operation to 13.5 ± 2.4 after operation. And the difference is statistically significant (t=1.314, P < 0.05). Among all the operated patients, 16 were cured and 2 were effective. As to Odom’s follow up grades, 6 cases were excellent, 11 cases were good and 1 case was acceptable. The postoperative move?ment range of cervical spine (40.1° ± 8.4°) show no statistically difference compared with that in preoperation (42.6° ± 11.9°) (t=0.68, P > 0.05). Conclusion Hybrid Surgery of anterior cervical decompression and fusion can both improve the nerve function and preserve cervical mobility.