伴有颈椎间盘突出的颈椎管狭窄症的手术方法探讨

目的探讨伴有颈椎间盘突出的颈椎管狭窄症的外科手术方法。方法对我院诊治的56例伴有颈椎间盘突出的颈椎管狭窄症患者,根据手术方法的不同分成两组:颈后路手术治疗组(31例)、颈前后联合入路手术治疗组(25例),比较两组间治疗前后的JOA评分改变。结果所有病例未发生神经功能进一步损伤,56例均获得10.0～20.0个月随访,脊髓神经功能按JOA评分,颈后路手术治疗组优良率74.2%,颈前后联合入路治疗组优良率76.0%。结论治疗伴有颈椎间盘突出的颈椎管狭窄症,单纯颈后路手术的治疗效果与颈前后联合入路手术区别不大,无需进一步行前路手术。

Surgical operation approaches to cervical spinal canal stenosis accompanied by cervical disc herniation

Objective To study surgical operation approaches to cervical spinal canal stenosis accompanied by cervical disc herniation.Methods In our hospital,56 patients with cervical spinal canal stenosis accompanied by cervical disc herniation were divided into 2 groups according to the surgical operation approaches used: the cervical posterior operation group(31 cases) and cervical anterior posterior operation group(25 cases).The change in JOA score was compared between two groups before and after treatment.Results During a follow-up period of 10-20 months,all the 56 cases had no further neurological injuries.JOA score for spinal nerve function revealed that acquisition rate in the cervical posterior operation group and cervical anterior posterior operation group was 74.2% and 76% respectively.Conclusion There’re no distinct gaps between the two approaches to cervical spinal canal stenosis accompanied by cervical disc herniation.