颈前路减压植骨融合钢板内固定术治疗脊髓型颈椎病

目的 探讨颈前路减压自体髂骨植骨融合钢板内同定术在治疗脊髓型颈椎病中的应用价值.方法 75例脊髓型颈椎病患者,病变累及1个节段23例,2个节段46例,3个节段6例.经颈前路减压,单间隙为开窗式,余为开槽式.加自体髂骨植骨,加带锁钢板内固定.结果 平均随访12个月,植骨于术后4～5月完全骨性融合.术后恢复之椎间高度未发生丢失现象,颈椎生理曲度维持良好.无脊髓、血管损伤,无钢板、螺钉折断、滑脱等并发症,但有4例术后长期存在吞咽时异物感,有1例进食时有明显梗阻感.JOA评分由平均术前8.1分上升至术后14.1分.手术优良率夏为83.3%.结论 颈前路减压植骨融合钢板内固定术治疗脊髓型颈椎病疗效可靠,宜使用低切迹颈前路钢板内固定. 个节段23例,2个节段46例,3个节段6例.经颈前路减压,单间隙为开窗式,余为开槽式.加自体髂骨植骨,加带锁钢板内固定.结果 平均随访12个月,植骨于术后4～5月完全骨性融合.术后恢复之椎问高度未发生丢失现象,颈椎生理曲度维持良好.无脊髓、血管损伤,无钢板、螺钉折断、滑脱等并发症,但有4例术后长期存在吞咽时异物感,有1例进食时有明显梗阻感.JOA评分由平均术前8.1分上升至术后14.1分. 术优良率夏为83.3%.结论 颈前路减压植骨融合钢板内固定术治疗脊髓型颈椎病疗效可靠,宜使用低切迹颈前路钢板内固定. 个

Anterior cervical spine decompression and interbody fusion with autografting and cervical spine locking plate fixation in treatment of cervical spondylotic myelopathy

Objective: To observe the effects of anterior cervical spine decompression and interbody fusion with autologous iliac bone grafting and cervical spine locking plate fixation in treatment of cervical spondylotic myelopathy (CSM). Methods The mentioned operatire methods were carried out in 75 patients with CSM. Of them,single intervertebral space involved in 23 cases,two involved in 46 cases,and three involved in 6 cases. Results The average follow-up period were 12 months. Solid fusion was obtained within 4 ...