颈椎前路减压植骨钛板内固定治疗颈脊髓损伤

目的评价颈椎前路减压植骨内固定治疗颈椎骨折合并颈脊髓损伤的临床疗效。方法对215例颈椎骨折合并颈脊髓损伤的患者施行颈椎前路减压、自体髂骨植骨和颈椎带锁钛板内固定术。术后定期复查X线片，判定脊髓功能恢复情况。结果随访184例患者，平均随访时间3．5年。术后3个月植骨块获得骨性愈合，颈椎椎间高度和生理曲度维持满意，无内置物并发症，172例患者神经功能提高1～2级，仅12例A级患者神经功能无恢复。结论颈椎骨折合并颈脊髓损伤应尽早行前路减压、植骨、钛板内固定术，有利于脊髓功能恢复，能使损伤节段获得即刻、坚强的稳定，方便护理和功能锻炼。

Treatment of Cervical Spinal Cord Injury by Anterior Decompression, Bone Graft and Titanium Plate Internal Fixation

Objective To evaluate the clinical efficacy of anterior decompression, bone graft and internal fixation for cervical spine fracture with cervical spinal cord injury. Methods 215 eases of cervical spine fracture with cervical spinal cord injury had been treated by the method of anterior decompression,iliac bone graft and cervical locking titanium plate fixation. X-rays were taken regularly after surgery and recovery of spinal cord function were recorded. Resuits 184 cases were foIiowed for an average time of 3. 5 years. Bone graft union was achieved 3 months after surgery. The cervical intervertebral height and the physiological curvature maintained satisfactory without implant complications. Nerve function of 172 patients improved 1 to 2 degree. Only 12 cases with stage A nerve function obtained no recovery. Conclusion Patients of cervical fracture with cervical spinal cord injury should undergo surgery of anterior decompression,bone graft and plate fixation as soon as possible. It is good to spinal cord function recovery. The injured segments can obtain instant and firm stability,which makes care and functional exercises easier,