CAJ | 학술논문

目的分析颈椎前路治疗多节段颈椎病的临床效果. 方法收集哈尔滨医科大学附属第四医院2012年7月~2013年7月病变累及3个以上椎间隙的颈椎病患者34例,并由同一术者行手术治疗,术式采用颈前路椎管减压、髓核摘除、椎体次全切、钛网内植骨、锁定钛板固定. 手术前后均对患者采用日本骨科协会颈椎病疗效评定标准( JOA)进行评分. 观察患者手术前后JOA评分变化. 结果 34例患者手术均获得成功,术后未出现明显并发症. JOA评分由术前9.9 ±1.2分上升为术后13.6 ±1.3分,差异有统计学意义(P<0.05). 结论颈椎前路治疗多节段颈椎病安全可行.
목적 분석경추전로치료다절단경추병적림상효과. 방법 수집합이빈의과대학부속제사의원2012년7월~2013년7월병변루급3개이상추간극적경추병환자34례,병유동일술자행수술치료,술식채용경전로추관감압、수핵적제、추체차전절、태망내식골、쇄정태판고정. 수술전후균대환자채용일본골과협회경추병료효평정표준( JOA)진행평분. 관찰환자수술전후JOA평분변화. 결과 34례환자수술균획득성공,술후미출현명현병발증. JOA평분유술전9.9 ±1.2분상승위술후13.6 ±1.3분,차이유통계학의의(P<0.05). 결론 경추전로치료다절단경추병안전가행.
Objective To evaluate the clinical effects of anterior cervical multilevel cervical disease .Methods Collected 34 pa-tients of multilevel cervical myelopathy with 3 consecutive segments who were treated with the same surgeon for operation treatment in the Fourth Affiliated Hospital of Harbin Medical University from 2012 July to 2013 July.Operation by anterior cervical decompression , remov-al of nucleus pulposus , subtotal resection of vertebral body , bone grafting with titanium mesh , locking titanium plate fixation .Both before and after surgery for patients with cervical spondylosis Japanese Orthopaedic Association evaluation standard ( JOA) score.Observed in patients before and after surgery JOA score changes .Results Thirty four patients were all successful surgery , no obvious complications after operation.JOA score by preoperative (9.9 ±1.2) increased as the postoperative (13.6 ±1.3),The difference was statistically sig-nificant(P<0.05).Conclusion Anterior multilevel cervical spondylosis treatment is feasible and safe .