一期后前路联合手术治疗椎管狭窄合并巨大间盘突出脊髓型颈椎病

目的:探讨一期后、前路联合手术治疗椎管狭窄合并巨大间盘突出脊髓型颈椎病的临床疗效和应用价值.方法:回顾分析2007年1月至2010年6月接受该术式的25例患者的临床资料,男17例,女8例,年龄56-74岁,平均60,4岁.结果:本组25例患者经3、6、24月的随访,JOA评分平均改善率分别为63.5%,74.4%,76.5%,术后行X线,MRI复查,内固定无松动,颈髓压迫解除,恢复了圆柱形状.结论:一期后、前路联合手术治疗椎管狭窄合并巨大间盘突出脊髓型颈椎病是一种有效可行的手术方法,能充分解除脊髓压迫,重建颈椎稳定性.优点:缩短治疗周期,消除了二次手术的痛苦,节省了医疗费用.

One Stage Surgical Treatment of Combined Posterior and Anterior Approach for Myelogenous Cervical Spondylosis of Spinal Stenosis combining Huge Herniated Disk

Objective: To investigate the clinical effects and application of one stage surgical treatment of combined posterior and anterior approach for myelogenous cervical spondylosis of spinal stenosis combining huge herniated disk.Method: Analyze the clinical date of 25 patients who had the surgery from January 2007 to June 2010 respectively.There were 17 males and 8 females with the average age of 60.4 years and the age ranging from 56 to 74.Result: 25 patients were followed up for 3,6 and 24 months,and the average improvement rate of JOA score were 63.5%,74.4% and 76.5% respectively.X-ray and MRI after the surgery had shown that no looseness of the internal fixation was found,cervical spinal cord compression was relieved and the cylinder could be seen again.Conclusion: It was an effective surgery of one stage surgical treatment of combined posterior and anterior approach for myelogenous cervical spondylosis of spinal stenosis combining huge herniated disk and it could relieve cervical spinal cord compression and rebuild the stability of cervical vertebrae.The advantages were as follows: shortening the treatment period;easing the pain for secondary surgery and saving medical cost.