| 一期前后路联合手术治疗多节段颈椎间盘突出合并后纵韧带骨化症 |
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| 引用本文： | 周方宇,李锋,方忠,郭风劲,吴华,陈安民.一期前后路联合手术治疗多节段颈椎间盘突出合并后纵韧带骨化症[J].中国组织工程研究与临床康复,2010,14(4). |
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| 作者姓名： | 周方宇 李锋 方忠 郭风劲 吴华 陈安民 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院骨科,湖北省武汉市,430030 |
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| 基金项目： | 科技部"十一五"国家支撑计划项目课题"脊髓神经损伤与椎间盘退变防治研究" |
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| 摘 要： | 背景:多节段颈椎间盘突出合并后纵韧带骨化症会对患者产生严重的脊髓损伤,手术治疗方案目前仍存在争议.采取一期前后路的手术方式治疗能否达到满意效果尚不清楚.目的:观察采取一期前后路联合手术治疗多节段颈椎间盘突出合并后纵韧带骨化症的临床疗效.方法:选择武汉同济医院骨科收治的颈椎多节段颈椎间盘突出合并后纵韧带骨化症患者17例,男11例,女6例,年龄42～74岁,平均51.5岁;均采用一期前后路联合手术治疗.术前X射线,CT或MRI检查提示颈椎被多个节段的颈椎间盘突出和骨化的后纵韧带压迫.术后定期复查X射线观察融合率和稳定性及并发症发生情况.结果与结论:术后伤口均一期愈合情况,全体病例术后随访6-36个月,平均24.5个月.JOA术后6个月评分为(12.88±2.47)分,较术前(6.41±1.28)分明显提高(P<0.05).JOA评分改善率为:优5例,良7例,可4例,优良率71%.全体病例植骨在三四个月后均获得融合,颈椎间隙高度及生理曲度恢复满意,未出现内固定断裂、松动及脱出等并发症.提示对于治疗多节段颈椎间盘突出合并后纵韧带骨化症,一期前后路联合手术能早期彻底地减压并重建脊柱的即刻稳定性,是安全有效的手术方式.
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| 关 键 词： | 多节段 颈椎间盘突出 后纵韧带骨化症 前后路 外科手术 |
One-stage anterior and posterior operation for multilevel cervical disc herniation accompanying ossification of posterior longitudinal ligament |
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| Zhou Fang-yu,Li Feng,Fang Zhong,Guo Feng-jin,Wu Hua,Chen An-min.One-stage anterior and posterior operation for multilevel cervical disc herniation accompanying ossification of posterior longitudinal ligament[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2010,14(4). |
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| Authors: | Zhou Fang-yu Li Feng Fang Zhong Guo Feng-jin Wu Hua Chen An-min |
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| Institution: | Zhou Fang-yu,Li Feng,Fang Zhong,Guo Feng-jin,Wu Hua,Chen An-min Department of Orthopaedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430030,Hubei Province,China |
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| Abstract: | BACKGROUND: Multilevel cervical disc herniation accompanying ossification of posterior longitudinal ligament (OPLL) can seriously hurt the spinal cord. Which way of operative approach is more preferable is still uncertain. Whether one-stage combined anterior and posterior operation can achieve better effects remains unclear. OBJECTIVE: To explore the therapeutic effect of one-stage anterior and posterior operation for the treatment of multilevel cervical disc herniation accompanying OPLL. METHODS: Seventeen... |
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