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前后路联合椎管扩大成形治疗多节段脊髓型颈椎病的临床分析
引用本文:朱智敏,崔立兴,孔禄生,钟华.前后路联合椎管扩大成形治疗多节段脊髓型颈椎病的临床分析[J].中国医药指南,2012,10(12):424-426.
作者姓名:朱智敏  崔立兴  孔禄生  钟华
作者单位:广东省廉江市人民医院骨科,广东,廉江,524400
摘    要:目的探讨前后路联合椎管扩大成形治疗多节段脊髓型颈椎病的疗效。方法对56例接受一期前后路联合减压椎管扩大成形的多节段脊髓型颈椎病患者的术后症状、体征的改善以及并发症的发生情况进行回顾性分析。结果 7例患者平均JOA评分由手术前的(9.7±1.31)分提高至手术后的(14.3±1.72)分,手术效果优良率为73.6%。本组患者均未发生严重手术并发症。结论颈椎前后路联合减压椎管扩大成形手术,治疗多节段脊髓型颈椎病的安全有效。

关 键 词:脊髓型颈椎病  椎管扩大成形  手术治疗

A Clinical Analysis on Combined Expanded Cervical Vertebral Plast by Combination of Anterior and Posterior Approach for Patients with Multisegmental Cervical Spondylofic Myelopathy
ZHU Zhi-min , CUI Li-xing , KONG Lu-sheng , ZHONG Hua.A Clinical Analysis on Combined Expanded Cervical Vertebral Plast by Combination of Anterior and Posterior Approach for Patients with Multisegmental Cervical Spondylofic Myelopathy[J].Guide of China Medicine,2012,10(12):424-426.
Authors:ZHU Zhi-min  CUI Li-xing  KONG Lu-sheng  ZHONG Hua
Institution:(Department of Orthopedics,People’s Hospital of Lianjiang,Lianjiang 524400,China)
Abstract:Objective To explore a treatment approach for the multiseg-mental cervical spondylotie myelopathy.Methods The syruptoms,signs and complications of 56 patients with multisegmental cervical spondylotie myelopathy after simultaneously treated with posterior and a nterior decompression welag retrospectively analyzed.Results The mean preoperative JOA score was 9.6±1.3.while the mean postoperative JOA score was 14.2±1.7.The rate offi neness was 73.6%.All patie nts had no serious complication after surgery.Conclusion The combination of posterior and anterior decompression is a safe and effective method for treating the multisegmental cervical spondylotic myelopathy.
Keywords:Cervical spondylotic myelopathy  Decompression surgery  Operation
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