一期前后路颈椎减压治疗钳夹型脊髓型颈椎病

目的观察一期前后路颈椎减压手术治疗钳夹型脊髓型颈椎病的临床教果。方法采用一期前后路颈椎减压手术方式治疗的16例脊髓型颈椎病患者。其中，男9例，女7例；年龄43～70岁，发育性颈椎管狭窄合并颈椎间盘突出12例，退变性颈椎管狭窄发育合并颈椎间盘突出4例。术前和术后通过神经功能JOA评分，颈椎动态侧位片，颈椎MRI评估临床疗效。结果全部病例获得随访，平均随访17.6个月。16例患者术后3、6、24个月，JOA评分平均改善率分别为57．2％、68.3％、76．6％。MRI示颈髓压迫解除。结论一期前后路颈椎减压形术治疗钳央型脊髓型颈椎病是一种有效可行的手术方法。

Anterior and posterior approaches decompression in one stage operation for treatment of pinching cervical spondylotic myelopathy

Objective] To investigate the effect of anterior and posterior approaches decompression in one stage operation for treatment of pinching cervical spondylotic myelopathy. Methods] 12 cases were treated with expansive cervical laminoplasty by posterior and discectomy and cervical locking plate internal fixation by anterior. Neural functionality (JOA scoring system) and cervical X-ray and MRI were evaluated. Results] 12 cases had been followed up for an average of 17.6 months. The average rates of improvement of the third and sixth month, and one year after operation were 57.2%, 68.3%, 76.6%. Instability of cervical was not found and decompression was confirmed on MRI. Conclusions] Anterior and posterior approaches decompression in one stage operation for treatment of pinching cervical spondylotic myelopathy have good efficacy and it is feasible operation method.