多节段颈椎间盘脱出的脊髓型颈椎病治疗的回顾性分析

目的：研究多节段颈间盘脱出症术式选择、减压范围及植骨的处理。方法：对48例患者的发病因素、病程及影像学表现特征进行分析。本组均采用颈椎前路减压自体髂骨植骨融合术，术后随访最平均4．7年。结果：治疗效果优：28例（58．3％）良：11例（22．9％）。可：6例（12．5％），差：3例（6．3％）。结论多节段间盘脱出症减压手术应首先考虑前路手术。如临床症状不缓解，可待植骨愈合后再后后路减压手术。一般两个节段的间盘摘除基本可以解决多间盘脱出的颈椎病。有的原则是务必保持椎间高度。

The review of surgical treatment and the problem of bone graft in multiple level cervical disc berniation

Objective To evaluate the chose of surgical treatment and the problem of bone graft in multiple level cervical disc herniation. Methods 48 cases with multiple level cervical disc herniation which have been treated with anterior cervical decompression and fusion with autogenous iliac bone graft were analyzed.The pathogenesis,history and characteristics on imaging were analyzed. Results After an average of 4 years and 7 months follow-up,the functional evaluation revealed it an excellent curative effect on 28 cases(58 3%), good effect on 11 cases (22 9%),fair on 6 cases(12 5%) and poor on 3 cases(6 3%).Most cases got a good result and pre-operative clinical symptoms disappeared completely. Conclusion It snggests that the anterior cervical decompression is a good surgical treatment for the multiple level cervical disc herniation.The multiple level cervical disc which were decompressed were not over 3. The bone graft should be kept the high between cervical vertebraes.