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颈椎前路减压植骨内固定治疗脊髓型颈椎病
引用本文:周田华,汤逊,徐永清,林月秋,潘险峰.颈椎前路减压植骨内固定治疗脊髓型颈椎病[J].中国伤残医学,2010,18(2).
作者姓名:周田华  汤逊  徐永清  林月秋  潘险峰
作者单位:昆明总医院附属骨科医院,云南,昆明,650032
摘    要:目的:探讨颈椎前路减压植骨内固定治疗脊髓型颈椎病的临床疗效。方法:对2001~2008年采用颈椎前路减压、取髂骨植骨融合、前路自锁钢板内固定治疗的61例脊髓型颈椎病病例进行回顾总结。结果:经8~24个月平均12.6个月随访,大部分患者症状明显缓解,部分患者症状基本消失,颈椎活动无明显受限。术后JOA评分平均改善率为85.2%,其中优31例,占50.8%;良21例,占34.4%;中8例,占13.1%;差1例,占1.6%。结论:颈椎前路减压植骨内固定治疗能直接解除脊髓受压、重建颈椎稳定性,是治疗脊髓型颈椎病的有效方法。

关 键 词:脊髓型颈椎病  前路减压  脊柱融合术  钢板内固定

Management of Cervical Spondylotic Myelopathy by Anterior Cervical Decompression,Autograft Bone Fusion and Plate Fixation
ZHOU Tian-hua,TANG Xun,XU Yong-qing,et al..Management of Cervical Spondylotic Myelopathy by Anterior Cervical Decompression,Autograft Bone Fusion and Plate Fixation[J].Chinese JOurnal of Trauma and Disability Medicine,2010,18(2).
Authors:ZHOU Tian-hua  TANG Xun  XU Yong-qing  
Institution:ZHOU Tian-hua,TANG Xun,XU Yong-qing,et al.(Department of Orthopedics,Kumming General Hospital of Chengdu Military Comm,,Kumming 650032)
Abstract:Objective:To evaluate the clinical efficiency of cervical spondylotic myelopathy treated by anterior cervical decompression,autograft bone fusion and plate fixation.Methods:The clinical results of 61 cases of cervical spondylotic myelopathy treated by anterior cervical decompression,autograft bone fusion and plate fixation from 2001 to 2008 were analyzed retrospectively.Results:During the average follow-up 12.6 months(8-24months),symptoms improved obviously in most patients and disappeared in partial patien...
Keywords:Cervical spondylotic myelopathy  Anterior cervical decompression  Spinal autograft bone fusion  Plate fixation  
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