CAJ | 학술논문

目的：探讨颈前路单间隙Zero-p联合椎体次全切手术治疗多节段脊髓型颈椎病的近期临床疗效。方法2013年1月~2014年7月我科采用颈前路单间隙Zero-p联合椎体次全切手术治疗多节段脊髓型颈椎病15例，其中男性8例，女性7例，年龄43~70岁，平均年龄60.5岁。病程时间从2w~8年，平均为20.1个月。术前、术后采用视觉模拟评分法(Visual Analogue Score，VAS)评价患者疼痛指数，采用日本骨科学会评分(JOA，17分)评价功能恢复。结果本组15例均完成手术，得到随访。术前VAS评分平均为(6.5±0.3)分，术后12个月随访VAS评分平均为(2.5±0.3)分，两者比较有明显统计学差异(<0.05)。术前JOA评分为(10.2±0.4)，术后为(14.3±0.3)，两者比较有明显统计学差异(<0.05)。 JOA改善率，优为4例，良为7例，中为4例，优良率为73.3%。结论颈前路单间隙Zero-p联合椎体次全切手术治疗多节段脊髓型颈椎病术后并发症低，近期临床疗效满意。
목적：탐토경전로단간극Zero-p연합추체차전절수술치료다절단척수형경추병적근기림상료효。방법2013년1월~2014년7월아과채용경전로단간극Zero-p연합추체차전절수술치료다절단척수형경추병15례，기중남성8례，녀성7례，년령43~70세，평균년령60.5세。병정시간종2w~8년，평균위20.1개월。술전、술후채용시각모의평분법(Visual Analogue Score，VAS)평개환자동통지수，채용일본골과학회평분(JOA，17분)평개공능회복。결과본조15례균완성수술，득도수방。술전VAS평분평균위(6.5±0.3)분，술후12개월수방VAS평분평균위(2.5±0.3)분，량자비교유명현통계학차이(<0.05)。술전JOA평분위(10.2±0.4)，술후위(14.3±0.3)，량자비교유명현통계학차이(<0.05)。 JOA개선솔，우위4례，량위7례，중위4례，우량솔위73.3%。결론경전로단간극Zero-p연합추체차전절수술치료다절단척수형경추병술후병발증저，근기림상료효만의。
Objective To evaluate the recent clinical ef ects of anterior cervical discectomy and fusion using a Zero-p combined corpectomy surgery for the treatment of multilevel cervical myelopathy. Methods From January 2013 to July 2014,15 cases with multilevel cervical myelopathy received surgical treatment,of whom eight were male,seven were female,aged 43~70years(mean,60.5years).The disease duration was 2 weeks to 8 years (mean,20.1 months).The VAS (visual analog pain scale)and JOA score (Japanese Orthopaedic Association score)were taken before and after the operation to evaluate the clinical outcomes.Results The mean VAS scores declined from 6.5±0.3 before operation to 2.5±0.3 at final fol ow-up.The mean JOA score raised from 10.2±0.4 before operation to 14.3±0.3 at final fol ow-up.According to JOA's standard,the excel ent and good rate was 73.3%with excel ent 4cases,good 7 cases,acceptable 4 cases.Conclusion The recent clinical ef ects of anterior cervical discectomy and fusion using a Zero-p combined corpectomy surgery for the treatment of multilevel cervical myelopathy are satisfactory.