双开门减压内固定治疗无骨折脱位型颈脊髓损伤

目的 探讨颈椎后路双开门减压内固定术治疗无骨折脱位型颈脊髓损伤的疗效.方法 回顾性分析2006年8月至2009年8月我院采用颈椎后路双开门减压植骨内固定术治疗的30例无骨折脱位型颈脊髓损伤患者的临床资料,通过随访比较术前、术后的JOA评分并进行疗效评价.结果 所有患者随访8～42个月,平均22个月,术后脊髓JOA评分由...

Double-door laminoplasty decompression and internal fixation in the treatment of cervical spinal cord injury without fracture and dislocation

Objective To evaluate the clinical outcomes of double-door laminoplasty decompression and internal fixation in the treatment of cervical spinal cord injury without fracture and dislocation.Methods 30 cases with cervical spinal cord injury without fracture and dislocation had been performed double-door laminoplasty and internal fixation since August 2006 to August 2009,and the JOA scores were reviewed to evaluate the clinical outcomes.Results All the 30 patients had been followed up for 8 to 42 months(average 22 months),clinical symptom were improved in all patients,and the mean JOA score increased from 3.5 points preoperatively to 10.6 points postoperatively.All of the implanted bones were fused.There was neither cord or nerve root injury,nor vertebral artery injury.And there was no implant failure or other complications.Conclusion This technique is a safe and effective method in the treatment of cervical spinal cord injury without fracture and dislocation,while the patients must be selected by the operation indication strictly.