前后路Ⅰ期减压术治疗脊髓型颈椎病

目的:探讨脊髓前后受压所导致脊髓型颈椎病的手术治疗方法.方法:采用前路减压植骨自 锁钢板内固定和后路单开门椎管扩大成形术一次性完成的手术方法对26例脊髓型颈椎病(为脊髓前后均受压的脊髓型颈椎病患者)进行治疗观察,其中男9例,女17例;年龄63～81岁,平均69岁.并对其治疗结果进行分析总结.结果:26例获得1.5～6年的随访,22例症状完全消失,4例尚留有轻度手臂麻木.按JOA评分标准:优16例,良6例,可4例,差0例.结论:采用前后路Ⅰ期手术治疗脊髓前后同时受压的脊髓型颈椎病减压彻底、固定可靠、疗效满意,不但使治疗周期大大缩短、复发率明显减少,而且可使脊髓和神经根受压症状得到彻底缓解.

Treatment of cervical spondylotic myelopathy with decompression through anterior and posterior operative approach

Objective: To explore the operative method for treatment of cervical spondylotic myelopathy caused by anterior and posterior spinal cord compression.Methods:Twenty-six patients with cervical spondylotic myelopathy (anterior and posterior spinal cord compression of the patients) were treated with laminectomy,fusion,laminoplasty through anterior and posterior approach respectively,moreover,the operation were completed once.Among them,male 5 cases,female 11 cases;the age range of the patients was from 63 to 81 years,with an average of 69 years.Therapeutic effects were analyzed in the patients.Results:All the patients were followed up from 1.5 to 6 years,among them,the clinical symptom vanished completely in 22 cases,remaining light numbness of arm in 4 cases.According to standard of JOA score,therapeutic effect was excellent in 16 cases,good in 6 cases,fair in 4,no poor case.Conclusion:The operative method is better for cervical spondylotic myelopathy cause by anterior and posterior spinal cord compression.It not only can shorten the treatment cycle,decrease recurrence rate significantly,but also can completely relieve the clinical symptom of spinal cord and root compression.