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后正中开门加植骨固定术治疗颈椎椎管狭窄症
引用本文:成有军,李强,蔡浩,辛长海,王建军,陈旭,吕明雷. 后正中开门加植骨固定术治疗颈椎椎管狭窄症[J]. 临床骨科杂志, 2004, 7(3): 244-246
作者姓名:成有军  李强  蔡浩  辛长海  王建军  陈旭  吕明雷
作者单位:1. 河南省焦作卫生学校,外科教研室,河南,焦作,454001
2. 河南省焦作卫生学校,附属医院骨外科,河南,焦作,454001
摘    要:目的选择一种后路手术治疗椎管狭窄症较理想的方法.方法采用不切除棘突,用线锯从后正中线锯开棘突、椎板及黄韧带,扩大椎管,锯开的棘突间植入骨块并加以固定,治疗颈椎管狭窄9例.结果 JOA评分平均改善率达88%,并且无明显手术并发症,植骨融合良好.结论线锯后正中开门加植骨固定术治疗椎管狭窄症是一种方法简便,减压彻底,手术时间短的治疗方法.

关 键 词:颈椎  椎管狭窄  后正中开门术  骨移植
文章编号:1008-0287(2004)03-0244-03
修稿时间:2004-01-06

Treatment of cervical spinal stenosis with posterior middle expansive laminoplasty and bone graft fixation
Abstract:Objective To develop an effective way of posterior middle expansive laminoplasty for cervical spinal stenosis. Methods The spinal processes, laminae and yellow ligament were opened with wire saw, the spinal canal was expanded and bone graft were performed in the middle space. 9 cases were treated in this protocal. Results The JOA score improvement rate was 88%. No severe complication was found. The bone graft fused well. Conclusion It is a simple, completely decompresssive way to treat cervical spinal stenosis with posterior middle expansive laminoplasty with wire saw and bone graft.
Keywords:cervical vertebrae  spinal stenosis  posterior middle expansive laminoplasty  bone transplantation
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