脊髓型颈椎病的手术治疗

目的：探讨脊髓型颈椎病的手术治疗。方法：对38例脊髓型颈椎病，通过影像特征进行分析，分别行颈后路单开门椎管扩大成形术或颈前路减压植骨术。结果：随访6个月～10年，摄片未发现不稳定现象，植骨均愈合。功能评价：优良32例(84．2％)，可4例(10．5％)，差2例(5．3％)。结论：脊髓型颈椎病一旦确诊宜尽早手术。手术时机、适应证、术中注意的问题和并发症的防治对手术有明显的影响。

Surgical treatment of cervical spondylotic mydopathy

Objective:To discuss the surgical treatment of cervical spondylotic mydopathy(CSM).Methods:The imaging of 38 cases of CSM was analysed.All the cases were treated by anterior cervical decompression and fusion with bone graft or with posterior cervical enlargement of spinal canal.Results:The follow up period extended from 6 months to 10 years.The stability of cervical spine radiographic outcome was very good,and the grafted bone was completely fused.Functional evalution revealed excellent and good in 32 cases (84.2%),fair in 4 cases(10.5%) and poor in 2 cases(5.3%).Conclusions:The operation time,indication surgical techniques and prevention of operation complicatons are important factors for the outcome of the surgery,CSM should appeal to surgery soon as it is diagnosed.