颈椎后路单开门椎管扩大成形术治疗脊髓型颈椎病

目的 分析颈椎后路单开门扩大成形术治疗脊髓型颈椎病的临床疗效。方法 对168例脊髓型颈椎病患者行后路单开门扩大成形术，并对临床结果进行17分计算法（JOA）评定分析。结果 168例中随访110例。临床疗效优良率87％，其中术后3d内自觉症状不同程度改善者达90％以上。结论 颈椎后路单开门扩大成形术。能有效地解除脊髓的压迫。改善神经功能，对脊髓型颈椎病临床疗效满意。

Unilateral Open Door Expansive Laminoplasty of One side in Treatment of Cervical Spondylotic Myelopathy

Objective To analyze the surgical outcome of unilateral open door expansive lamin-oplasty of one side in the treatment of cervical spondylotic myelopathy. Methods Patients (168) with cervical spondylotic myelopathy underwent open door expansive laminoplasty,and then the surgical outcome of these patients was evaluated by using the JOA Method. Results A follow up of 110 patients revealed that 87% of them had excellent surgical outcome. More than 90% of the 110 patients improved in the 3rd postoperative day. Conclusions Open door expansive laminoplasty is beneficial to patients with cervical spondylotic myelopathy. It is effective in relieving compression of the cord, and improving of neurological function.