CAJ | 학술논문

目的：探讨前路分节段与长节段手术治疗多节段颈椎病的临床疗效。方法：收集86例多节段颈椎病患者行前路手术，其中累及3个间隙的62例，累及4个间隙的24例。分别行长节段椎体次全切除联合钛网植骨内固定手术和分节段椎体次全切除联合钛网植骨内固定术，根据X线检查Cobb角及JOA评分评价术前及术后颈椎曲度变化、内固定稳定程度、植骨融合率及神经功能改善情况。结果：所有患者均顺利完成手术，分节段手术组术后颈椎生理曲度恢复更好，术后手部功能改善情况、术中出血量、神经功能恢复情况两种术式间差别无统计学意义(P>0.05)。结论：分节段颈前路手术在治疗多节段颈椎病上具有一定的优势。
목적：탐토전로분절단여장절단수술치료다절단경추병적림상료효。방법：수집86례다절단경추병환자행전로수술，기중루급3개간극적62례，루급4개간극적24례。분별행장절단추체차전절제연합태망식골내고정수술화분절단추체차전절제연합태망식골내고정술，근거X선검사Cobb각급JOA평분평개술전급술후경추곡도변화、내고정은정정도、식골융합솔급신경공능개선정황。결과：소유환자균순리완성수술，분절단수술조술후경추생리곡도회복경호，술후수부공능개선정황、술중출혈량、신경공능회복정황량충술식간차별무통계학의의(P>0.05)。결론：분절단경전로수술재치료다절단경추병상구유일정적우세。
Objective: To investigate the clinical efficacy of two different anterior cervical surgeries in treatment of multi-segmental cervical spondylosis. Methods: A total of 86 patients with multi-segmental cervical spondylosis were treated by anterior cervical surgery procedure. Among them, 62 and 24 cases were involved in three and four gap, respectively. Each patient underwent the surgery of long or segmented anterior cervical decompression and fixation. Preoperative and postoperative cervical curvature change, internal if xation stability, fusion rate and nerve function were evaluated. Results: All patients were successfully completed the operation, segmented surgery showed better cervical lordosis recovery, but there were no significant difference between long and segmented anterior cervical surgery in blood loss and recovery of neurological function (P>0.05). Conclusion: The segmented anterior cervical surgery has advantages in the treatment of multi-segmental cervical spondylosis.