颈前路椎体次全切植骨钛板固定治疗脊髓型颈椎病疗效分析

目的探讨颈前路椎体次全切植骨钛板同定治疗脊髓型颈椎病的疗效。方法选择本院收治的脊髓型颈椎病患者43例，均给予颈前路椎体次全切植骨钛板固定治疗，比较两组术后恢复情况。结果术后3个月及末次随访时JOA评分均显著高于术前（P〈0．01）；术后3个月神经功能改善率略低于末次随访时（P〈0．05）；颈椎弧度D值方面，术后3个月及末次随访问差异不显著（P〉0．05），但均高于术前（P〈0．01）。本组患者术后总优良率为86．0％。结论颈前路椎体次全切植骨钛板固定治疗脊髓型颈椎病疗效肯定，椎管减压充分，神经症状缓解满意，植骨融合率高，可达到迅速而持久的固定效果。

Analysis of anterior cervical vertebra subexcision and internal fixation with titanium plate in treating cervical spondylotic myelopathy

Objective To investigate the clinical effect of anterior cervical vertebra subexcision and internal fixation with titanium plate in treating patients with cervical spondylotic myelopathy. Methods A total of 43 patients with cervical spondylotic myelopathy of our hospital were treated by anterior cervical vertebra subexcision, D value of cervical radians, improvement of nerve function and JOA before and after surgery were compared. Results JOA scores at 3 months after surgery and last followed-up were all significantly higher than before （P 〈 0.01 ） ; The nerve function improvement rate 3months after treatment was significantly lower than that of last followed-up （P 〈 0.05） ; There was no difference in D value of cervical radians between 3 months after treatment and last followed-up （P 〉 0.05）. The total efficiency rate was 86.0%. Conclusion There is a good effect for anterior cervical vertebra subexcision and internal fixation with titanium plate in treating patients with cervical spondylotic myelopathy, it can completely spinal canal decompress, and it also has the virtue of high bone fusion rate and stable.