CAJ | 학술논문

目的：探讨合并下颈椎不稳的颈椎过伸性椎间微脱位损伤的手术时机对疗效的影响。方法回顾性分析2010年6月至2013年5月手术治疗的56例合并下颈椎不稳的颈椎过伸性脱位损伤患者的临床资料。结果56例患者均获随访6~24个月，平均16.5个月。经统计学分析：不同手术时机组内及组间差异均有统计学意义（P<0.05），术后优于术前、A组优于B组、B组优于C组。结论对于伴有下颈椎不稳的过伸性颈椎间微脱位损伤，越来越倾向于早期手术减压。不论采取何种手术方式，均应对不稳节段进行可靠的固定。
목적：탐토합병하경추불은적경추과신성추간미탈위손상적수술시궤대료효적영향。방법회고성분석2010년6월지2013년5월수술치료적56례합병하경추불은적경추과신성탈위손상환자적림상자료。결과56례환자균획수방6~24개월，평균16.5개월。경통계학분석：불동수술시궤조내급조간차이균유통계학의의（P<0.05），술후우우술전、A조우우B조、B조우우C조。결론대우반유하경추불은적과신성경추간미탈위손상，월래월경향우조기수술감압。불론채취하충수술방식，균응대불은절단진행가고적고정。
Objective To discuss the significance of opportunity of operation for the lower cervical instability resulted from cervical hyperextension injury. Methods The clinical data of 56 patients with cervical hyperextension injury were reviewed and analyzed. They were divided into group A (0~7d), B (8~14d) and C(>14d) according to opportunity of operation. To analyze the curative effect of different surgical opportunities by comparing preoperative and postoperative modified Frankel grading and ASIA score within the same group and among groups. Results 56 patients were followed up for 6~24 months, averaged 16.5 months. It was found that neural function improved greatly after operation in all surgical groups .Group A had significantly better outcome than Group B, and Group B better than Group C. Conclusions Early operation had obtained more and more coincident assent. Inter-vertebral instability should be fixed using either anterior or posterior operational approach.